Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Idalia Montanez Miranda PLLC

Organization Clinical Psychologist · NPI 1588580716

Idalia Montanez Miranda PLLC provides Clinical Psychologist services in St Augustine, Florida. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

130 Shipyard Way Unit 1107
St Augustine, FL 32084-4239
Phone: (805) 505-7210
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X

Record details

NPI number1588580716
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Idalia Montanez-Miranda — Licensed Psychologist · (805) 505-7210
NPI enumeratedJune 24, 2026
Last updated in NPPESJune 24, 2026
Certification dateJune 24, 2026
Mailing addressPo Box 126, St Augustine, FL 32085-0126

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