Organization
MAGALIS AGUILERA, PSY.D., P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAGALIS AGUILERA PSY.D (PRESIDENT)
(305) 595-8787
Entity
Organization
Contact information
Practice address
9240 SW 72ND ST, SUITE 106, MIAMI, FL 33173-3261
(305) 595-8787
(305) 595-6087
Mailing address
9240 SW 72ND ST, SUITE 106, MIAMI, FL 33173-3261
(305) 595-8787
(305) 595-6087
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
PY6494
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007718517
AETNA
KY
01
—
510095713
UNITED HEALTH CARE OPTUM CARE
FL
01
—
54830
FLORIDA BLUE
FL
Enumeration date
12/28/2015
Last updated
12/28/2015
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