MEDICARE: YENY GOMEZ MESA

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	106S00000X	Behavior Technician	RBT-22-215494	FL

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	:	1144955295
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YENY GOMEZ MESA

Provider Business Mailing Address
First Line	:	1230 NW 13TH AVE
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33993-6029
Country	:	US
Telephone Number	:	786-704-3452
Fax Number	:

Provider Business Practice Location Address
First Line	:	1230 NW 13TH AVE
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33993-6029
Country	:	US
Telephone Number	:	786-704-3452
Fax Number	:

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

Provider Enumeration Date	:	07/22/2022
Last Update Date	:	11/03/2025

Similar Medicare Providers

1295414928 — DR. KAITLIN MARIE RIOUX DMD
Practice Location Address:

1730 N UNIVERSITY DR
CORAL SPRINGS, FL
33071-6029

Practice Phone: 954-345-2264
Practice Fax:

1104779537 — NATACHA TERESA MESA TEJEDA
Practice Location Address:

1708 NW 11TH TER
CAPE CORAL, FL
33993-5932

Practice Phone: 239-867-1446
Practice Fax:

1154274447 — SUSAN LYNN PURNELL
Practice Location Address:

1115 NW 1ST PL
CAPE CORAL, FL
33993-1143

Practice Phone: 239-228-9069
Practice Fax:

1558055749 — LAZARO JESUS BROCHE FERRALES
Practice Location Address:

1224 NW 22ND PL
CAPE CORAL, FL
33993-5974

Practice Phone: 239-299-5766
Practice Fax:

1447755533 — KARIM Y SAFILLE GUERRERO
Practice Location Address:

1233 NW 22ND PL
CAPE CORAL, FL
33993-5975

Practice Phone: 239-940-0219
Practice Fax:

1912857111 — JACKSON MANUEL CASTRILLO
Practice Location Address:

2914 NW 24TH AVE
CAPE CORAL, FL
33993-8387

Practice Phone: 305-807-9743
Practice Fax:

Directions to “ YENY GOMEZ MESA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.