Provider Demographics
NPI:1265170484
Name:AGUILAR, CARIDAD YTZEL (MS, IMH)
Entity type:Individual
Prefix:
First Name:CARIDAD
Middle Name:YTZEL
Last Name:AGUILAR
Suffix:
Gender:F
Credentials:MS, IMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14888 ENCLAVE LAKES DR APT C4
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-8820
Mailing Address - Country:US
Mailing Address - Phone:561-599-0559
Mailing Address - Fax:
Practice Address - Street 1:3655 CORTEZ RD W STE 140
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34210-3147
Practice Address - Country:US
Practice Address - Phone:941-888-2081
Practice Address - Fax:888-700-6760
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-26
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLIMH22152OtherFLORIDA DEPARTMENT OF HEALTH