Healthcare Provider Details

I. General information

NPI: 1699212498
Provider Name (Legal Business Name): YOEL TAPANES CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2017
Last Update Date: 03/17/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7887 N KENDALL DR STE 101
MIAMI FL
33156-7494
US

IV. Provider business mailing address

1441 CONSTITUTION BLVD
SALINAS CA
93906-3100
US

V. Phone/Fax

Practice location:
  • Phone: 786-918-6677
  • Fax:
Mailing address:
  • Phone: 831-755-4111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number95000674
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number9347893
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: