Individual
DR. GISELA AGUILA-PUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-1266
Mailing address
4300 SW 139TH AVE, MIRAMAR, FL 33027-3028
(786) 357-8379
(305) 585-1183
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY 0005158
FL
103T00000X
Psychologist
PY5158
FL
103TC0700X
Clinical Psychologist
PY 0005158
FL
Other
Enumeration date
04/18/2007
Last updated
08/18/2023
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