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NPI Code Detail

MEDICARE: LIZANDRA DE LA CARIDAD YANEZ

MEDICARE:   LIZANDRA DE LA CARIDAD YANEZ
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
1106S00000XBehavior TechnicianRBT-23-281600FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457030777
Entity Type Code : Individual
Provider Name (Legal Business Name) : LIZANDRA DE LA CARIDAD YANEZ
Provider Business Mailing Address
First Line : 14960 SW 157TH TER
Second Line :
City : MIAMI
State : FL
Zip : 33187-0605
Country : US
Telephone Number : 786-304-8745
Fax Number :
Provider Business Practice Location Address
First Line : 14960 SW 157TH TER
Second Line :
City : MIAMI
State : FL
Zip : 33187-0605
Country : US
Telephone Number : 786-304-8745
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2023
Last Update Date : 07/13/2023

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Directions to “ LIZANDRA DE LA CARIDAD YANEZ ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.