Healthcare Provider Details

I. General information

NPI: 1437817723
Provider Name (Legal Business Name): JYJ APRN SERVICES, CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2021
Last Update Date: 03/28/2024
Certification Date: 03/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8770 SW 8TH ST
MIAMI FL
33174-3201
US

IV. Provider business mailing address

8770 SW 8TH ST
MIAMI FL
33174-3201
US

V. Phone/Fax

Practice location:
  • Phone: 786-223-9751
  • Fax:
Mailing address:
  • Phone: 786-223-9751
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: YANEISY CORREA VENTO
Title or Position: OWNER/ APRN
Credential: APRN
Phone: 786-223-9751