Provider Demographics
NPI:1487483012
Name:AGUILAR, ANDREECK ARIEL
Entity type:Individual
Prefix:
First Name:ANDREECK
Middle Name:ARIEL
Last Name:AGUILAR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:AAAGUILAR AT UNCG
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27413-0001
Mailing Address - Country:US
Mailing Address - Phone:984-209-6203
Mailing Address - Fax:
Practice Address - Street 1:AAAGUILAR AT UNCG
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27413-0001
Practice Address - Country:US
Practice Address - Phone:984-209-6203
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-31
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer