MEDICARE: YOANDRA NIEVES BORGES, PA

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	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1275491045
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YOANDRA NIEVES BORGES, PA

Provider Business Mailing Address
First Line	:	1924 LAKE HERITAGE CIR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32839-2643
Country	:	US
Telephone Number	:	407-308-2866
Fax Number	:

Provider Business Practice Location Address
First Line	:	1924 LAKE HERITAGE CIR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32839-2643
Country	:	US
Telephone Number	:	407-308-2866
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL PSYCHOLOGIST
Name	:	YOANDRA NIEVES BORGES
Credential	:	PHD
Telephone Number	:	787-597-1180

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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