Healthcare Provider Details

I. General information

NPI: 1013360783
Provider Name (Legal Business Name): YAMISLEY ALAMO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2016
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13331 SW 113TH CT
MIAMI FL
33176-0805
US

IV. Provider business mailing address

562 SW 57TH AVE
MIAMI FL
33144-3961
US

V. Phone/Fax

Practice location:
  • Phone: 786-371-4127
  • Fax:
Mailing address:
  • Phone: 786-371-4127
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: