Provider Demographics
NPI:1144286014
Name:AGUILAR, VIVIAN DEL CARMEN (MD)
Entity type:Individual
Prefix:DR
First Name:VIVIAN
Middle Name:DEL CARMEN
Last Name:AGUILAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2501 N ORANGE AVE STE 240
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-4641
Mailing Address - Country:US
Mailing Address - Phone:407-303-1380
Mailing Address - Fax:
Practice Address - Street 1:911 W 38TH ST
Practice Address - Street 2:SUITE 202
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-1188
Practice Address - Country:US
Practice Address - Phone:512-324-8670
Practice Address - Fax:512-380-7531
Is Sole Proprietor?:No
Enumeration Date:2006-04-21
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP8008207VF0040X
NJMA07593207VG0400X
FLME98857207VF0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyUrogynecology and Reconstructive Pelvic Surgery
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX328190901Medicaid
NJ0005274Medicaid
NJ00153013OtherRAILROAD MEDICARE
NJ00153013OtherRAILROAD MEDICARE
NJ072535B3LMedicare ID - Type Unspecified
NJ0005274Medicaid