Provider Demographics
NPI:1306647995
Name:MAIBYS R ARAGON, MDPA
Entity type:Organization
Organization Name:MAIBYS R ARAGON, MDPA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAIBYS
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ ARAGON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-715-0719
Mailing Address - Street 1:16770 NW 86TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33016-6183
Mailing Address - Country:US
Mailing Address - Phone:786-706-1098
Mailing Address - Fax:786-706-9028
Practice Address - Street 1:15495 EAGLE NEST LN STE 100
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2242
Practice Address - Country:US
Practice Address - Phone:305-556-0021
Practice Address - Fax:305-556-0071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-20
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty