| Doctor Name: | MR. MIGUEL A ELGUETA |
| NPI Number: | 1043612146 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | SW12058 |
| Business Practice Address: | 9033 Nw 146th Ter Miami Lakes, FL - 330187310 |
| Business Phone Number: | 3052009624 |
| Business Fax Number: | |
| Mailing Address: | 9033 Nw 146th Ter, MIAMI LAKES |
| State: | FL |
| Postal Code: | 330187310 |
| Phone Number: | 3052009624 |
| Fax Number: | |
| NPI Enumeration Date: | 09/19/2014 |
| NPI Last Update Date: | 09/19/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | SW12058 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |