Healthcare Provider Details

I. General information

NPI: 1538080577
Provider Name (Legal Business Name): DENISE ULLOA YANES PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8005 NW 8TH ST APT 401
MIAMI FL
33126-2853
US

IV. Provider business mailing address

8005 NW 8TH ST APT 401
MIAMI FL
33126-2853
US

V. Phone/Fax

Practice location:
  • Phone: 786-857-0911
  • Fax:
Mailing address:
  • Phone: 786-857-0911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number11049368
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: