Healthcare Provider Details

I. General information

NPI: 1033587134
Provider Name (Legal Business Name): YANEIDIS JOSEFINA GAMEZ COLMENARES FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2015
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6957 NW 107TH CT
DORAL FL
33178-3652
US

IV. Provider business mailing address

6957 NW 107TH CT
DORAL FL
33178-3652
US

V. Phone/Fax

Practice location:
  • Phone: 813-317-9557
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11049745
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: