MEDICARE: YOENNY FABELO ACEVEDO DC

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	225700000X	Massage Therapist	MA 66017	FL
2	111N00000X	Chiropractor	CH12702	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	:	1154667244
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YOENNY FABELO ACEVEDO DC

Provider Business Mailing Address
First Line	:	7392 NW 35TH TER STE 310
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33122-1260
Country	:	US
Telephone Number	:	786-631-4976
Fax Number	:	786-633-5185

Provider Business Practice Location Address
First Line	:	7392 NW 35TH TER STE 309
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33122-1260
Country	:	US
Telephone Number	:	786-631-4976
Fax Number	:	786-633-5185

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

Provider Enumeration Date	:	12/18/2012
Last Update Date	:	01/10/2023

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