Healthcare Provider Details

I. General information

NPI: 1518119171
Provider Name (Legal Business Name): YAIMA BENEMELIS ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/15/2008
Last Update Date: 06/10/2020
Certification Date: 06/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8740 SW 40TH ST
MIAMI FL
33165-5470
US

IV. Provider business mailing address

8740 SW 40TH ST
MIAMI FL
33165-5470
US

V. Phone/Fax

Practice location:
  • Phone: 866-389-2727
  • Fax:
Mailing address:
  • Phone: 305-221-8337
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9250187
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9250187
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: