Individual
DR. ANDREA BEATRIZ DE AGUAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, PSYD
Contact information
Practice address
1533 SUNSET DR STE 225, CORAL GABLES, FL 33143-5700
(305) 707-1604
Mailing address
2525 PONCE DE LEON BLVD STE 300, CORAL GABLES, FL 33134-6044
(305) 926-2617
(786) 876-8369
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH14214
FL
103T00000X
Psychologist
Primary
PY10780
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101455400
—
FL
01
—
MH14214
DEPT OF HEALTH
FL
01
—
PY10780
DEPT OF HEALTH
FL
Enumeration date
07/10/2017
Last updated
04/24/2023
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