MEDICARE: YUDERCA BARBERA

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	372600000X	Adult Companion
2	376J00000X	Homemaker

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093132870
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YUDERCA BARBERA

Provider Business Mailing Address
First Line	:	4100 CORPORATE SQ
Second Line	:	STE 153
City	:	NAPLES
State	:	FL
Zip	:	34104-4714
Country	:	US
Telephone Number	:	239-331-9690
Fax Number	:

Provider Business Practice Location Address
First Line	:	4100 CORPORATE SQ
Second Line	:	STE 153
City	:	NAPLES
State	:	FL
Zip	:	34104-4714
Country	:	US
Telephone Number	:	239-331-9690
Fax Number	:

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

Provider Enumeration Date	:	03/18/2014
Last Update Date	:	03/18/2014

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Directions to “ YUDERCA BARBERA ” Practice Location

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