MAGALIS AGUILERA, PSY.D., P.A


Address: 9240 Sw 72nd St, Suite 106, Miami, FL 33173-3261
Phone: 3055958787

MAGALIS AGUILERA, PSY.D., P.A (NPI# 1336504828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336504828
Entity Type Organization
Organization Name MAGALIS AGUILERA, PSY.D., P.A
Practice Address 9240 Sw 72nd St
Suite 106
Miami
FL 33173-3261
Practice Telephone 3055958787
Practice Fax Number 3055956087
Mailing Telephone 3055958787
Mailing Fax Number 3055956087
Enumeration Date 2015-12-28
Last Update Date 2015-12-28
Authorized Official Name MAGALIS AGUILERA (PRESIDENT)
Authorized Official Telephone 3055958787
Authorized Official Credential PSY.D
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
PY6494 FL Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
KY AETNA 0007718517 01
FL FLORIDA BLUE 54830 01
FL UNITED HEALTH CARE OPTUM CARE 510095713 01

Office Location

Street Address 9240 SW 72ND ST
SUITE 106
City MIAMI
State FL
Zip Code 33173-3261

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 261QM0855X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adolescent and Children Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Notes: [7/1/2003: new]

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City MIAMI
Zip Code 33173

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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