=====================================================
General NPI Number Information
=====================================================
NPI Number | 1497826861
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | YAK SERVICES CORPORATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/10/2006
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5040 NW 7TH ST SUITE 417
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33126-3422
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-774-1183
-----------------------------------------------------
Fax | 305-774-7193
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5040 NW 7TH ST SUITE 417
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33126-3422
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-774-1183
-----------------------------------------------------
Fax | 305-774-7193
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | YASER HERNANDEZ
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 305-774-1183
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------