Healthcare Provider Details

I. General information

NPI: 1508581703
Provider Name (Legal Business Name): YROSQUETE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2022
Last Update Date: 10/10/2022
Certification Date: 10/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1161 W 53RD ST
HIALEAH FL
33012-2422
US

IV. Provider business mailing address

1161 W 53RD ST
HIALEAH FL
33012-2422
US

V. Phone/Fax

Practice location:
  • Phone: 305-993-8783
  • Fax:
Mailing address:
  • Phone: 305-993-8783
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MRS. YAIMA ROSQUETE
Title or Position: AUTHORIZED OFFICAL
Credential: ARNP
Phone: 305-993-8783