Provider Demographics
NPI:1114452125
Name:AGUIRRE, ELIZABETH BEATRIZ
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:BEATRIZ
Last Name:AGUIRRE
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 1:2430 NW 32ND ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33142-5850
Mailing Address - Country:US
Mailing Address - Phone:305-336-7266
Mailing Address - Fax:305-971-3095
Practice Address - Street 1:11025 SW 84TH ST
Practice Address - Street 2:SUITE 8
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3857
Practice Address - Country:US
Practice Address - Phone:305-971-1230
Practice Address - Fax:305-971-3095
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-27
Last Update Date:2017-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician