| Doctor Name: | MARIO ALBERTO AGUIRRE |
| NPI Number: | 1366813065 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | FNP |
| License Number: | 95002907 |
| Business Practice Address: | 195 W Legion Rd Brawley, CA - 922277714 |
| Business Phone Number: | 7603518669 |
| Business Fax Number: | 7603518894 |
| Mailing Address: | 625 Flying Cloud Dr, IMPERIAL |
| State: | CA |
| Postal Code: | 922519012 |
| Phone Number: | 7609601786 |
| Fax Number: | |
| NPI Enumeration Date: | 10/07/2015 |
| NPI Last Update Date: | 10/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 95002907 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |