Dr Idalia Montanez-miranda, PSYD - Psychologist in St Augustine, FL

Dr Idalia Montanez-miranda, PSYD is a Psychologist based in St Augustine, Florida. Dr Idalia Montanez-miranda is licensed to practice in Washington (license number PY60898484) and her current practice location is 130 Shipyard Way Unit 1107, St Augustine, Florida. She can be reached at her office (for appointments etc.) via phone at (805) 505-7210.

NPI number for Dr Idalia Montanez-miranda is 1942589296 and her current mailing address is Po Box 126, St Augustine, Florida. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1942589296.

Contact Information

Dr Idalia Montanez-miranda, PSYD
130 Shipyard Way Unit 1107,
St Augustine, FL 32084-4239
(805) 505-7210
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Idalia Montanez-miranda
GenderFemale
SpecialityPsychologist
Location130 Shipyard Way Unit 1107, St Augustine, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1942589296
  • Provider Enumeration Date: 08/04/2011
  • Last Update Date: 06/12/2026

Medical Identifiers

Medical identifiers for Dr Idalia Montanez-miranda such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942589296NPI-NPPES
PY60898484OtherWADEPARTMENT OF HEALTH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PY60898484 (Washington)Secondary
103T00000XPsychologist PY60898484 (Washington)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Idalia Montanez-miranda is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Idalia Montanez-miranda, PSYD
Po Box 126,
St Augustine, FL 32085-0126

Ph: (805) 505-7210
Dr Idalia Montanez-miranda, PSYD
130 Shipyard Way Unit 1107,
St Augustine, FL 32084-4239

Ph: (805) 505-7210

Reviews and Comments


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