Healthcare Provider Details

I. General information

NPI: 1619659109
Provider Name (Legal Business Name): YAMILA MAESTRE CONDE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2023
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9930 SW 214TH ST
CUTLER BAY FL
33189-3030
US

IV. Provider business mailing address

9930 SW 214TH ST
CUTLER BAY FL
33189-3030
US

V. Phone/Fax

Practice location:
  • Phone: 305-464-7383
  • Fax:
Mailing address:
  • Phone: 305-464-7383
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: