Provider Demographics
NPI:1609965326
Name:AGUERO, ADELA ELVIA (MD)
Entity Type:Individual
Prefix:
First Name:ADELA
Middle Name:ELVIA
Last Name:AGUERO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 ALHAMBRA CIR
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-5003
Mailing Address - Country:US
Mailing Address - Phone:305-445-3999
Mailing Address - Fax:
Practice Address - Street 1:305 ALHAMBRA CIR
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-5003
Practice Address - Country:US
Practice Address - Phone:305-443-6656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2013-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME43851207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL02595AOtherBC/BS
FL02595Medicare ID - Type Unspecified
FLC53845Medicare UPIN