Provider Demographics
NPI:1659425833
Name:AMADOR, BEATRIZ (PSYD)
Entity Type:Individual
Prefix:DR
First Name:BEATRIZ
Middle Name:
Last Name:AMADOR
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:548 DE SOTO DR
Mailing Address - Street 2:
Mailing Address - City:MIAMI SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6011
Mailing Address - Country:US
Mailing Address - Phone:305-926-8184
Mailing Address - Fax:
Practice Address - Street 1:3625 NW 82ND AVE
Practice Address - Street 2:SUITE 309
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-6652
Practice Address - Country:US
Practice Address - Phone:305-591-7303
Practice Address - Fax:305-591-7344
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2013-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY7316103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL763258400Medicaid
FLAM067ZMedicare UPIN