Healthcare Provider Details

I. General information

NPI: 1033862677
Provider Name (Legal Business Name): YOANDRA NIEVES BORGES PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/03/2022
Last Update Date: 08/11/2025
Certification Date: 08/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13538 VILLAGE PARK DR UNIT 220
ORLANDO FL
32837-3603
US

IV. Provider business mailing address

1924 LAKE HERITAGE CIR APT 516
ORLANDO FL
32839-8279
US

V. Phone/Fax

Practice location:
  • Phone: 407-494-3787
  • Fax:
Mailing address:
  • Phone: 787-597-1180
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TH0004X
TaxonomyHealth Psychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TH0004X
TaxonomyHealth Psychologist
License NumberPY12868
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: