MEDICARE: YULKANIA SERRANO FALCON

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	208D00000X	General Practice Physician	15962-I	PR
2	208D00000X	General Practice Physician	ACN1466	FL

General Provider Information

NPI Number	:	1760138549
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YULKANIA SERRANO FALCON

Provider Business Mailing Address
First Line	:	8333 NW 53RD ST FL 6
Second Line	:
City	:	DORAL
State	:	FL
Zip	:	33166-4783
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4201 PALM AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-4424
Country	:	US
Telephone Number	:	305-823-0210
Fax Number	:

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

Provider Enumeration Date	:	03/01/2022
Last Update Date	:	06/01/2026

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