Provider Demographics
NPI:1407955099
Name:AGUINALDO, JAIME AGOO (MD)
Entity type:Individual
Prefix:DR
First Name:JAIME
Middle Name:AGOO
Last Name:AGUINALDO
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Gender:M
Credentials:MD
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Mailing Address - Street 1:13112 THORNHILL DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63131-1717
Mailing Address - Country:US
Mailing Address - Phone:314-644-5300
Mailing Address - Fax:314-644-5308
Practice Address - Street 1:3915 WATSON RD STE 101
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63109-1251
Practice Address - Country:US
Practice Address - Phone:314-644-5300
Practice Address - Fax:314-644-5308
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2014-03-28
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Provider Licenses
StateLicense IDTaxonomies
MO33032207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOA10767Medicare UPIN