| Dr Andrea Beatriz De Aguayo, LMHC, PSYD | |
|
1533 Sunset Dr Ste 225, Coral Gables, FL 33143-5700 | |
| (305) 707-1604 | |
| Not Available |
| Full Name | Dr Andrea Beatriz De Aguayo |
|---|---|
| Gender | Female |
| Speciality | Psychologist |
| Location | 1533 Sunset Dr Ste 225, Coral Gables, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730601048 | NPI | - | NPPES |
| MH14214 | Other | FL | DEPT OF HEALTH |
| 101455400 | Medicaid | FL | |
| PY10780 | Other | FL | DEPT OF HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH14214 (Florida) | Secondary |
| 103T00000X | Psychologist | PY10780 (Florida) | Primary |
| Entity Name | Daema Pina Psyd Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720658677 PECOS PAC ID: 2062806094 Enrollment ID: O20220308001253 |
| Entity Name | Ellie Mental Health Of Naples At 75 Vineyards Blvd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619605706 PECOS PAC ID: 2961867346 Enrollment ID: O20230509000458 |
| Entity Name | Ellie Mental Health Of Estero |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851029243 PECOS PAC ID: 6002273216 Enrollment ID: O20230602001757 |
| Entity Name | Solid Rock Foundation Healing Help |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205689114 PECOS PAC ID: 3870935521 Enrollment ID: O20240524003552 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Andrea Beatriz De Aguayo, LMHC, PSYD 2525 Ponce De Leon Blvd Ste 300, Coral Gables, FL 33134-6044 Ph: (305) 926-2617 | Dr Andrea Beatriz De Aguayo, LMHC, PSYD 1533 Sunset Dr Ste 225, Coral Gables, FL 33143-5700 Ph: (305) 707-1604 |