Healthcare Provider Details

I. General information

NPI: 1255034187
Provider Name (Legal Business Name): YELAINE BARTOLOME SIERRA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/22/2023
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7900 SW 210TH ST APT A309
CUTLER BAY FL
33189-4016
US

IV. Provider business mailing address

7900 SW 210TH ST APT A309
CUTLER BAY FL
33189-4016
US

V. Phone/Fax

Practice location:
  • Phone: 786-616-3417
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME176241
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: