Healthcare Provider Details

I. General information

NPI: 1295422632
Provider Name (Legal Business Name): YOANKA NARANJO FUNDORA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: YOANKA NARANJO FUNDORA APRN

II. Dates (important events)

Enumeration Date: 04/18/2023
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date: 01/19/2026
Reactivation Date: 03/09/2026

III. Provider practice location address

299 ALHAMBRA CIR STE 210
CORAL GABLES FL
33134-5116
US

IV. Provider business mailing address

17801 SW 152ND CT
MIAMI FL
33187-7771
US

V. Phone/Fax

Practice location:
  • Phone: 786-558-5729
  • Fax: 786-598-7755
Mailing address:
  • Phone: 305-766-4260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number11025852
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: