MEDICARE: YOLAILA RONDON MS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1043094733
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YOLAILA RONDON MS

Provider Business Mailing Address
First Line	:	5209 NW 36TH ST
Second Line	:
City	:	MIAMI SPRINGS
State	:	FL
Zip	:	33166-5923
Country	:	US
Telephone Number	:	786-712-7752
Fax Number	:

Provider Business Practice Location Address
First Line	:	5209 NW 36TH ST
Second Line	:
City	:	MIAMI SPRINGS
State	:	FL
Zip	:	33166-5923
Country	:	US
Telephone Number	:	786-542-8742
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2023
Last Update Date	:	08/23/2023

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