MEDICARE: DR. LETICIA M YBARRA PHD, APRN, BC, FNP

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	363L00000X	Nurse Practitioner	AP115198	TX
2	363LF0000X	Family Nurse Practitioner	AP115198	TX

General Provider Information

NPI Number	:	1174667844
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LETICIA M YBARRA PHD, APRN, BC, FNP

Provider Business Mailing Address
First Line	:	2547 E COMMERCE ST STE 300
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78203-1907
Country	:	US
Telephone Number	:	210-283-6331
Fax Number	:	210-619-7188

Provider Business Practice Location Address
First Line	:	2547 E COMMERCE ST STE 300
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78203-1907
Country	:	US
Telephone Number	:	210-283-6331
Fax Number	:	210-619-7188

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

Provider Enumeration Date	:	02/16/2007
Last Update Date	:	11/24/2025

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