Provider Demographics
NPI:1083992945
Name:AGUERO, ELSA MARGARITA
Entity Type:Individual
Prefix:
First Name:ELSA
Middle Name:MARGARITA
Last Name:AGUERO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17240 NW 74TH PATH
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-7111
Mailing Address - Country:US
Mailing Address - Phone:305-218-5020
Mailing Address - Fax:305-824-3001
Practice Address - Street 1:17240 NW 74TH PATH
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015-7111
Practice Address - Country:US
Practice Address - Phone:305-218-5020
Practice Address - Fax:305-824-3001
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-26
Last Update Date:2014-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ6819235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist