| Doctor Name: | MIGUEL AGUILERA |
| NPI Number: | 1124232186 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PPS SCHOOL PSYCHOLOG |
| License Number: | U6029238 |
| Business Practice Address: | 265 Calle De La Alianza San Ysidro, CA - 921732110 |
| Business Phone Number: | 6196621591 |
| Business Fax Number: | |
| Mailing Address: | 265 Calle De La Alianza, SAN YSIDRO |
| State: | CA |
| Postal Code: | 921732110 |
| Phone Number: | 6196621591 |
| Fax Number: | |
| NPI Enumeration Date: | 05/09/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TS0200X |
| License Number: | U6029238 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |