Provider Demographics
NPI:1609048255
Name:AGUILERA, ELBA LEONOR (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ELBA
Middle Name:LEONOR
Last Name:AGUILERA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1233 W 44TH PL
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-3331
Mailing Address - Country:US
Mailing Address - Phone:305-828-7242
Mailing Address - Fax:
Practice Address - Street 1:1233 W 44TH PL
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-3331
Practice Address - Country:US
Practice Address - Phone:305-828-7242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-24
Last Update Date:2008-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS39225183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist