Healthcare Provider Details

I. General information

NPI: 1417865411
Provider Name (Legal Business Name): YAMILA ARENCIBIA APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3161 SW 26TH ST
MIAMI FL
33133-2133
US

IV. Provider business mailing address

3161 SW 26TH ST
MIAMI FL
33133-2133
US

V. Phone/Fax

Practice location:
  • Phone: 305-310-1558
  • Fax:
Mailing address:
  • Phone: 305-310-1558
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11050525
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: