MEDICARE: YAQUELYN MARTINEZ VERA

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	171M00000X	Case Manager/Care Coordinator	CBHCMS101139	FL
2	101YM0800X	Mental Health Counselor	MH19619	FL

General Provider Information

NPI Number	:	1518632058
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YAQUELYN MARTINEZ VERA

Provider Business Mailing Address
First Line	:	5332 SW 133RD AVE
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33027-5442
Country	:	US
Telephone Number	:	786-201-5718
Fax Number	:

Provider Business Practice Location Address
First Line	:	5332 SW 133RD AVE
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33027-5442
Country	:	US
Telephone Number	:	786-201-5718
Fax Number	:

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

Provider Enumeration Date	:	08/16/2021
Last Update Date	:	03/03/2026

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