MEDICARE: YANNORKIS PEREZ NAPOLES SA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246ZC0007X	Surgical Assistant	18-499	WI

General Provider Information

NPI Number	:	1134684905
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YANNORKIS PEREZ NAPOLES SA-C

Provider Business Mailing Address
First Line	:	3450 NW 3RD ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-4939
Country	:	US
Telephone Number	:	504-606-6232
Fax Number	:

Provider Business Practice Location Address
First Line	:	3450 NW 3RD ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-4939
Country	:	US
Telephone Number	:	504-606-6232
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2019
Last Update Date	:	02/06/2019

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Directions to “ YANNORKIS PEREZ NAPOLES SA-C” Practice Location

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