Basic Information
| Provider Information | |||||||||
| NPI: | 1235394420 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | AGUIN MELENDEZ | ||||||||
| FirstName: | EDUARDO | ||||||||
| MiddleName: | JOSE | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1767 LAKEWOOD RANCH BLVD # 312 | ||||||||
| Address2: | |||||||||
| City: | BRADENTON | ||||||||
| State: | FL | ||||||||
| PostalCode: | 342114906 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9417455115 | ||||||||
| FaxNumber: | 9415671000 | ||||||||
| Practice Location | |||||||||
| Address1: | 5323 4TH AVENUE CIR E | ||||||||
| Address2: | |||||||||
| City: | BRADENTON | ||||||||
| State: | FL | ||||||||
| PostalCode: | 342085623 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9417455115 | ||||||||
| FaxNumber: | 9415671000 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/28/2008 | ||||||||
| LastUpdateDate: | 01/04/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/04/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | ME147685 | FL | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 207V00000X | 4301091720 | MI | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.