Healthcare Provider Details

I. General information

NPI: 1891572566
Provider Name (Legal Business Name): YAYLIN MARTIN GARCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2023
Last Update Date: 09/14/2023
Certification Date: 09/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18610 NW 87TH AVE STE 101
HIALEAH FL
33015-3519
US

IV. Provider business mailing address

18610 NW 87TH AVE STE 101
HIALEAH FL
33015-3519
US

V. Phone/Fax

Practice location:
  • Phone: 844-665-4827
  • Fax:
Mailing address:
  • Phone: 844-665-4827
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number171400000X
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: