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 is a Clinical Psychologist 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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