Healthcare Provider Details

I. General information

NPI: 1932923851
Provider Name (Legal Business Name): K & Y MEDICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2024
Last Update Date: 11/08/2024
Certification Date: 11/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8950 SW 74TH CT STE 2201A3
MIAMI FL
33156-3171
US

IV. Provider business mailing address

8950 SW 74TH CT STE 2201A3
MIAMI FL
33156-3171
US

V. Phone/Fax

Practice location:
  • Phone: 786-889-2345
  • Fax: 786-796-1092
Mailing address:
  • Phone: 786-889-2345
  • Fax: 786-796-1092

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: YANISA D CASTILLO ALVAREZ
Title or Position: OWNER
Credential: APRN
Phone: 786-889-2345