Healthcare Provider Details

I. General information

NPI: 1376460576
Provider Name (Legal Business Name): YENISEL JUNQUERA LORIGA DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10271 PINES BLVD
PEMBROKE PINES FL
33026-6008
US

IV. Provider business mailing address

3911 SW 89TH CT
MIAMI FL
33165-5309
US

V. Phone/Fax

Practice location:
  • Phone: 954-323-8715
  • Fax:
Mailing address:
  • Phone: 786-707-5486
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number32238
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: