Healthcare Provider Details

I. General information

NPI: 1922312438
Provider Name (Legal Business Name): YCA MEDICAL SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2010
Last Update Date: 07/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6555 NW 36TH ST B300
VIRGINIA GARDENS FL
33166-6978
US

IV. Provider business mailing address

6555 NW 36TH ST B300
VIRGINIA GARDENS FL
33166-6978
US

V. Phone/Fax

Practice location:
  • Phone: 305-871-6035
  • Fax: 305-871-6036
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JUAN I CARRION
Title or Position: OWNER
Credential:
Phone: 786-389-4628