Doctor Name: | MS. MILDREY AGUILA |
NPI Number: | 1003123100 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | SI 1383 |
Business Practice Address: | 2930 Nw 156 St Miami, FL - 330543489 |
Business Phone Number: | 7868030043 |
Business Fax Number: | |
Mailing Address: | 3123 W 70th St, HIALEAH |
State: | FL |
Postal Code: | 330185270 |
Phone Number: | 7868030043 |
Fax Number: | |
NPI Enumeration Date: | 09/10/2010 |
NPI Last Update Date: | 01/11/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2355S0801X |
License Number: | SI 1383 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | Speech-Language Assistant |
Taxonomy Definition: |