Provider Demographics
NPI:1144100447
Name:SALDIVAR AGUILA, ILIANA LAURA
Entity type:Individual
Prefix:
First Name:ILIANA
Middle Name:LAURA
Last Name:SALDIVAR AGUILA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19800 SW 180TH AVE # LOTE241
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33187-2619
Mailing Address - Country:US
Mailing Address - Phone:863-677-8820
Mailing Address - Fax:
Practice Address - Street 1:19800 SW 180TH AVE # LOTE241
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33187-2619
Practice Address - Country:US
Practice Address - Phone:863-677-8820
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-05
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician