Healthcare Provider Details

I. General information

NPI: 1174192157
Provider Name (Legal Business Name): LAYNA FRANCISCA YIP TELLEZ APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2021
Last Update Date: 03/19/2024
Certification Date: 06/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9380 SW 150TH STREET SUITE 200
MIAMI FL
33176-7946
US

IV. Provider business mailing address

5101 SW 8TH STREET SUITE 200
CORAL GABLES FL
33134
US

V. Phone/Fax

Practice location:
  • Phone: 786-634-4991
  • Fax: 786-361-1162
Mailing address:
  • Phone: 306-262-6060
  • Fax: 305-262-6038

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11013829
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: