Healthcare Provider Details

I. General information

NPI: 1427622703
Provider Name (Legal Business Name): Y EXCEPTIONAL CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2021
Last Update Date: 06/15/2023
Certification Date: 06/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9020 SW 137TH AVE STE 250
MIAMI FL
33186-1433
US

IV. Provider business mailing address

9020 SW 137TH AVE STE 250
MIAMI FL
33186-1433
US

V. Phone/Fax

Practice location:
  • Phone: 786-536-7330
  • Fax:
Mailing address:
  • Phone: 786-536-7330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: YELENNY ALVAREZ RIVERO
Title or Position: PRESIDENT
Credential:
Phone: 305-746-3050