=====================================================
General NPI Number Information
=====================================================
NPI Number | 1043066970
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | YELINNAY GARCIA PEREZ DE VILLA AMIL MD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/30/2024
-----------------------------------------------------
Last Update Date | 08/06/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 383 W 34TH ST, HIALEAH
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33012
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-884-1744
-----------------------------------------------------
Fax | 305-675-0910
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6521 SW 114TH AVE
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33173-1955
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-668-0644
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208D00000X
-----------------------------------------------------
Taxonomy Name | General Practice Physician
-----------------------------------------------------
License Number | ACN1736
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------