Healthcare Provider Details

I. General information

NPI: 1366863326
Provider Name (Legal Business Name): YORYANA VAQUER VILLAZON NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/18/2013
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20001 SW 127TH AVE
MIAMI FL
33177-5118
US

IV. Provider business mailing address

6100 BLUE LAGOON DR STE 365
MIAMI FL
33126-7010
US

V. Phone/Fax

Practice location:
  • Phone: 305-405-2069
  • Fax: 786-577-4381
Mailing address:
  • Phone: 786-322-7333
  • Fax: 786-322-7329

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9345505
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: