Provider Demographics
NPI:1659343283
Name:AGUILERA, MARIBEL (MD)
Entity Type:Individual
Prefix:MRS
First Name:MARIBEL
Middle Name:
Last Name:AGUILERA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8049 NW 155TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33016-5874
Mailing Address - Country:US
Mailing Address - Phone:305-822-2330
Mailing Address - Fax:305-822-2339
Practice Address - Street 1:8049 NW 155TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33016-5874
Practice Address - Country:US
Practice Address - Phone:305-822-2330
Practice Address - Fax:305-822-2339
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME879582084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL267276601Medicaid
FL267276601Medicaid
FLH91719Medicare UPIN