Provider Demographics
NPI:1487810909
Name:BEATRIZ AMADOR PSYD PA
Entity type:Organization
Organization Name:BEATRIZ AMADOR PSYD PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BEATRIZ
Authorized Official - Middle Name:
Authorized Official - Last Name:AMADOR
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:305-591-7303
Mailing Address - Street 1:3625 NW 82ND AVE
Mailing Address - Street 2:SUITE 309
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6652
Mailing Address - Country:US
Mailing Address - Phone:305-591-7303
Mailing Address - Fax:305-591-7344
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-04
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY7316103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAM068Medicare UPIN