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NPI Code Detail

MEDICARE: YANELY BUSTELO

MEDICARE:   YANELY  BUSTELO
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
1101YM0800XMental Health CounselorPMH1572FL

General Provider Information

NPI Number : 1225520836
Entity Type Code : Individual
Provider Name (Legal Business Name) : YANELY BUSTELO
Provider Business Mailing Address
First Line : 1315 W 78TH TER
Second Line :
City : HIALEAH
State : FL
Zip : 33014-3443
Country : US
Telephone Number : 786-320-4061
Fax Number :
Provider Business Practice Location Address
First Line : 1315 W 78TH TER
Second Line :
City : HIALEAH
State : FL
Zip : 33014-3443
Country : US
Telephone Number : 786-320-4061
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2018
Last Update Date : 05/31/2018

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Directions to “ YANELY BUSTELO ” Practice Location

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