Healthcare Provider Details

I. General information

NPI: 1558781252
Provider Name (Legal Business Name): KATIE AGUIRRE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/21/2014
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8510 SW 8TH ST
MIAMI FL
33144-4053
US

IV. Provider business mailing address

650 WEST AVE APT 2004
MIAMI BEACH FL
33139-6367
US

V. Phone/Fax

Practice location:
  • Phone: 305-266-5353
  • Fax:
Mailing address:
  • Phone: 305-812-2580
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number18171
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: