MEDICARE: YEMNEY CABRERA QUINTANA

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	224Z00000X	Occupational Therapy Assistant	OTA17511	FL
2	103K00000X	Behavior Analyst	1-23-69592	FL

General Provider Information

NPI Number	:	1154062768
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YEMNEY CABRERA QUINTANA

Provider Business Mailing Address
First Line	:	554 E 19TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33013-4130
Country	:	US
Telephone Number	:	786-306-8706
Fax Number	:

Provider Business Practice Location Address
First Line	:	554 E 19TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33013-4130
Country	:	US
Telephone Number	:	786-306-8706
Fax Number	:

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

Provider Enumeration Date	:	04/06/2022
Last Update Date	:	11/28/2023

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Directions to “ YEMNEY CABRERA QUINTANA ” Practice Location

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