Elizabeth Aguero, B.S SPECIAL ED SLP

Individual provider Active NPI Developmental Therapist · Miami, FL

NPI 1366675415 · NPPES record last updated Nov 4, 2011

Key facts

NPI
1366675415
Entity type
Individual (NPI type 1)
Primary specialty
Developmental Therapist 222Q00000X
Practice address
13926 SW 65TH Ter
Miami, FL 33183-1153
Phone
(305) 205-0259
Fax
(305) 205-0259
NPI assigned
Aug 24, 2009
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
SI 1329FLMDSpeech-Language Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SI 1329 FL
Developmental Therapist 222Q00000X Yes

Addresses

Primary practice location

13926 SW 65TH Ter
Miami, FL 33183-1153

Mailing address

13926 SW 65TH Ter
Miami, FL 33183-1153
Phone (305) 205-0259

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 4, 2011.

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320364800000",
    "number": "1366675415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13926 SW 65TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331831153",
            "telephone_number": "305-205-0259",
            "fax_number": "305-205-0259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13926 SW 65TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331831153",
            "telephone_number": "305-205-0259",
            "fax_number": "305-205-0259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUERO",
        "first_name": "ELIZABETH",
        "credential": "B.S SPECIAL ED SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-24",
        "last_updated": "2011-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "SI 1329",
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

All providers in Miami, FL · Developmental Therapist in Florida

Sources for this page

Verify at the official NPI Registry.