Healthcare Provider Details

I. General information

NPI: 1275442758
Provider Name (Legal Business Name): YISEL MARIA ALBINO D.C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4360 NORTHLAKE BLVD STE 114
PALM BEACH GARDENS FL
33410-6264
US

IV. Provider business mailing address

11350 NICOLE DR UNIT 201
ROYAL PALM BEACH FL
33414-2265
US

V. Phone/Fax

Practice location:
  • Phone: 561-928-2225
  • Fax:
Mailing address:
  • Phone: 321-527-0947
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number16059
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: