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NPI Code Detail

MEDICARE: YANIEL ALEXANDER TAMAYO VERDECIA RN

MEDICARE: YANIEL ALEXANDER TAMAYO VERDECIA RN
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
1163WH0200XHome Health Registered Nurse1226714TX
2163W00000XRegistered Nurse1226714TX

General Provider Information

NPI Number : 1205770104
Entity Type Code : Individual
Provider Name (Legal Business Name) : YANIEL ALEXANDER TAMAYO VERDECIA RN
Provider Business Mailing Address
First Line : 21630 MERCHANTS WAY
Second Line :
City : KATY
State : TX
Zip : 77449-2514
Country : US
Telephone Number : 832-230-1518
Fax Number :
Provider Business Practice Location Address
First Line : 21630 MERCHANTS WAY
Second Line :
City : KATY
State : TX
Zip : 77449-2514
Country : US
Telephone Number : 832-230-1518
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2026
Last Update Date : 04/20/2026

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