Healthcare Provider Details

I. General information

NPI: 1417885336
Provider Name (Legal Business Name): YISELL CLEMENTE CURBELO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6380 NW 114TH AVE APT 336
DORAL FL
33178-4571
US

IV. Provider business mailing address

6380 NW 114TH AVE APT 336
DORAL FL
33178-4571
US

V. Phone/Fax

Practice location:
  • Phone: 786-479-4699
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11047505
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: