| Doctor Name: | JORGE ADALBERTO AGUILAR |
| NPI Number: | 1265780514 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | ME 65905 |
| Business Practice Address: | 19000 Sw 377th. Street Dade Correctional Institution Homestead, FL - 33034 |
| Business Phone Number: | 3052422300 |
| Business Fax Number: | 3052466376 |
| Mailing Address: | 19000 Sw 377th. Street, Dade Correctional Institution HOMESTEAD |
| State: | FL |
| Postal Code: | 33034 |
| Phone Number: | 3052422300 |
| Fax Number: | 3052466376 |
| NPI Enumeration Date: | 08/16/2012 |
| NPI Last Update Date: | 08/16/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME 65905 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |