Healthcare Provider Details

I. General information

NPI: 1487569141
Provider Name (Legal Business Name): CARRAZANA MEDICAL SERVICES CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1110 SW 75TH AVE
MIAMI FL
33144-4418
US

IV. Provider business mailing address

1110 SW 75TH AVE
MIAMI FL
33144-4418
US

V. Phone/Fax

Practice location:
  • Phone: 786-704-6499
  • Fax: 786-550-1498
Mailing address:
  • Phone: 786-704-6499
  • Fax: 786-550-1498

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: YAMILE CARRAZANA
Title or Position: PRESIDENT
Credential:
Phone: 786-704-6499