Provider Demographics
NPI:1689245805
Name:AGUERO, MARIA LUISA (ARNP)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:LUISA
Last Name:AGUERO
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15201 SW 142ND TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196-5660
Mailing Address - Country:US
Mailing Address - Phone:305-338-6152
Mailing Address - Fax:
Practice Address - Street 1:15201 SW 142ND TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33196-5660
Practice Address - Country:US
Practice Address - Phone:305-338-6152
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-08
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11001146363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily