Healthcare Provider Details

I. General information

NPI: 1487217949
Provider Name (Legal Business Name): YANEISY CORREA VENTO APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/19/2019
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8756 SW 8TH ST
MIAMI FL
33174-3201
US

IV. Provider business mailing address

8756 SW 8TH ST
MIAMI FL
33174-3201
US

V. Phone/Fax

Practice location:
  • Phone: 786-223-9751
  • Fax:
Mailing address:
  • Phone: 786-223-9751
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11002255
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: