AAG NP SERVICES LLC NPI 1356989693

NPI Information

  • NPI: 1356989693
  • Provider Name: AAG NP SERVICES LLC
  • Classification: Family Medicine - 207QA0505X
  • Specialization: Adult Medicine
  • Entity Type: Organization
  • Address: 309 CORNELL DR
    LAKE WORTH BEACH, FL
    ZIP 33460
  • Phone: (718) 490-4293

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NPI Details

AAG NP SERVICES LLC is an adult medicine family medicine in Lake Worth Beach, FL. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. AAG NP SERVICES LLC NPI is 1356989693. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

309 CORNELL DR
LAKE WORTH BEACH, FL
ZIP 33460-207
Phone: (718) 490-4293

The provider's authorized official is Alirio Alfonso Gonzalez .
The authorized official title is Owner and has the following contact phone number (718) 490-4293.

The enumeration date for this NPI number is 12/17/2019 and was last updated on 12/17/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QA0505XFamily MedicineAdult MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100246153MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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