Provider Demographics
NPI:1679851497
Name:AGUERO, ANA-KRISTINA (MS-CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ANA-KRISTINA
Middle Name:
Last Name:AGUERO
Suffix:
Gender:F
Credentials:MS-CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2925 NW 126TH AVE APT 311
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33323-6322
Mailing Address - Country:US
Mailing Address - Phone:786-385-5207
Mailing Address - Fax:
Practice Address - Street 1:1859 VAN BUREN ST
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-5127
Practice Address - Country:US
Practice Address - Phone:954-920-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-27
Last Update Date:2018-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX106697235Z00000X
FLSA8899235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist