Healthcare Provider Details

I. General information

NPI: 1003160763
Provider Name (Legal Business Name): YANET LLERAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/02/2012
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8491 NW 17TH ST STE 110
DORAL FL
33126-1025
US

IV. Provider business mailing address

10201 FOUNTAINBLEAU BLVD 202
MIAMI FL
33172-6653
US

V. Phone/Fax

Practice location:
  • Phone: 305-340-2365
  • Fax: 786-364-0119
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSZ13416
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: