Healthcare Provider Details

I. General information

NPI: 1952793721
Provider Name (Legal Business Name): ELENA YABER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/03/2015
Last Update Date: 07/15/2025
Certification Date: 07/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

651 E 25TH ST
HIALEAH FL
33013-3814
US

IV. Provider business mailing address

651 E 25TH ST
HIALEAH FL
33013-3814
US

V. Phone/Fax

Practice location:
  • Phone: 305-693-6100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberD184967
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number9195993
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: