Provider Demographics
NPI:1366675415
Name:AGUERO, ELIZABETH (BS SPECIAL ED SLP)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:AGUERO
Suffix:
Gender:F
Credentials:BS SPECIAL ED SLP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:13926 SW 65TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-1153
Mailing Address - Country:US
Mailing Address - Phone:305-205-0259
Mailing Address - Fax:305-205-0259
Practice Address - Street 1:13926 SW 65TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-1153
Practice Address - Country:US
Practice Address - Phone:305-205-0259
Practice Address - Fax:305-205-0259
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-24
Last Update Date:2011-11-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLSI 13292355S0801X
222Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist
No2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant