Healthcare Provider Details

I. General information

NPI: 1063429736
Provider Name (Legal Business Name): Y & CROSS MEDICAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 MADRID ST SUITE 2
CORAL GABLES FL
33134-2283
US

IV. Provider business mailing address

801 MADRID ST SUITE 2
CORAL GABLES FL
33134-2283
US

V. Phone/Fax

Practice location:
  • Phone: 786-718-4893
  • Fax: 305-675-2668
Mailing address:
  • Phone: 786-718-4893
  • Fax: 305-675-2668

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License NumberHCC7145
License Number StateFL

VIII. Authorized Official

Name: MS. YAMILA LOPEZ
Title or Position: PRESIDENT OWNER
Credential:
Phone: 786-718-4893