Healthcare Provider Details

I. General information

NPI: 1033033303
Provider Name (Legal Business Name): GABRIELA ALEJANDRA CARRASCO AGUILA MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13335 SW 124TH ST STE 101
MIAMI FL
33186-7513
US

IV. Provider business mailing address

6043 SW 26TH ST
MIRAMAR FL
33023-3905
US

V. Phone/Fax

Practice location:
  • Phone: 786-842-3635
  • Fax: 786-732-4459
Mailing address:
  • Phone: 786-489-1799
  • Fax: 786-732-4459

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: