MEDICARE: YECENIA AMADOR

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	11039453	FL

General Provider Information

NPI Number	:	1770374787
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YECENIA AMADOR

Provider Business Mailing Address
First Line	:	8500 W FLAGLER ST STE 107A
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33144-2043
Country	:	US
Telephone Number	:	786-322-5321
Fax Number	:

Provider Business Practice Location Address
First Line	:	8500 W FLAGLER ST STE 107A
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33144-2043
Country	:	US
Telephone Number	:	786-614-5085
Fax Number	:	786-322-5321

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

Provider Enumeration Date	:	05/16/2025
Last Update Date	:	03/16/2026

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Directions to “ YECENIA AMADOR ” Practice Location

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