Provider Demographics
NPI:1215119565
Name:AGUILERA, LUIS ERNESTO
Entity type:Individual
Prefix:
First Name:LUIS
Middle Name:ERNESTO
Last Name:AGUILERA
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 1:520 CRAZY HORSE CYN RD
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93907-9224
Mailing Address - Country:US
Mailing Address - Phone:831-663-5658
Mailing Address - Fax:
Practice Address - Street 1:520 CRAZY HORSE CANYON RD
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93907-9224
Practice Address - Country:US
Practice Address - Phone:831-663-5658
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-28
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor