Basic Information
| Provider Information | |||||||||
| NPI: | 1295785566 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | AGUIRRE | ||||||||
| FirstName: | JOSE | ||||||||
| MiddleName: | A | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 3299 | ||||||||
| Address2: | |||||||||
| City: | CARSON CITY | ||||||||
| State: | NV | ||||||||
| PostalCode: | 897023299 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | |||||||||
| FaxNumber: | 7754455175 | ||||||||
| Practice Location | |||||||||
| Address1: | 1600 MEDICAL PKWY | ||||||||
| Address2: | |||||||||
| City: | CARSON CITY | ||||||||
| State: | NV | ||||||||
| PostalCode: | 897034625 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7754458795 | ||||||||
| FaxNumber: | 7754455175 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/10/2006 | ||||||||
| LastUpdateDate: | 02/17/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/17/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | C55941 | CA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | DR.0057202 | CO | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | MED-PHYS-LIC-55185 | MT | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | MD2016-0314 | NM | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 286185 | NY | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 50712 | TN | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 8871437-1205 | UT | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208M00000X | 11479 | NV | N | Allopathic & Osteopathic Physicians | Hospitalist | 208M00000X | D0084393 | MD | N | Allopathic & Osteopathic Physicians | Hospitalist | 207R00000X | ME148377 | FL | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.