Provider Demographics
NPI:1073314910
Name:AGUIRRE ROS, MARCELO
Entity type:Individual
Prefix:
First Name:MARCELO
Middle Name:
Last Name:AGUIRRE ROS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1155 38TH ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32805-7134
Mailing Address - Country:US
Mailing Address - Phone:954-508-7271
Mailing Address - Fax:
Practice Address - Street 1:1155 38TH ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32805-7134
Practice Address - Country:US
Practice Address - Phone:954-508-7271
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician