MEDICARE: YAUMARA CECILIA ORAMA CERVANTES APRN

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	103K00000X	Behavior Analyst
2	104100000X	Social Worker
3	363LF0000X	Family Nurse Practitioner	11026084	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	11026084	OTHER	FL	APRN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093229437
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YAUMARA CECILIA ORAMA CERVANTES APRN

Provider Business Mailing Address
First Line	:	230 SW 12TH ST APT 708
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33130-4298
Country	:	US
Telephone Number	:	786-715-4388
Fax Number	:

Provider Business Practice Location Address
First Line	:	230 SW 12TH ST APT 708
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33130-4298
Country	:	US
Telephone Number	:	786-715-4388
Fax Number	:

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

Provider Enumeration Date	:	11/21/2017
Last Update Date	:	05/19/2023

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