MEDICARE: YOVANIT FAJARDO AQUINO DNM, FNP-BC, ARNP

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	101YM0800X	Mental Health Counselor
2	363LF0000X	Family Nurse Practitioner	ARNP9339362	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295909976
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YOVANIT FAJARDO AQUINO DNM, FNP-BC, ARNP

Provider Business Mailing Address
First Line	:	6880 TAMIAMI CANAL RD
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-4451
Country	:	US
Telephone Number	:	786-326-7504
Fax Number	:	350-235-3742

Provider Business Practice Location Address
First Line	:	1502 NW 4TH ST STE 5
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-4854
Country	:	US
Telephone Number	:	305-569-4060
Fax Number	:	305-646-6757

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

Provider Enumeration Date	:	04/15/2008
Last Update Date	:	05/27/2025

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