Healthcare Provider Details

I. General information

NPI: 1104826882
Provider Name (Legal Business Name): Y & G MEDICAL SERV
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1096 SW 27TH AVE
MIAMI FL
33135-4634
US

IV. Provider business mailing address

1096 SW 27TH AVE
MIAMI FL
33135-4634
US

V. Phone/Fax

Practice location:
  • Phone: 305-388-4711
  • Fax: 305-388-8122
Mailing address:
  • Phone: 305-388-4711
  • Fax: 305-388-8122

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number343483-4
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPH18047
License Number StateFL

VIII. Authorized Official

Name: MR. RENEE A ACOSTA
Title or Position: PRESIDENT/OWNER
Credential:
Phone: 305-388-4711