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NPI Code Detail

MEDICARE: YOLEXIS ISELA ORIHUELA PEREZ

MEDICARE: YOLEXIS ISELA ORIHUELA PEREZ
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
1106S00000XBehavior TechnicianRBT-20-142041FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336686807
Entity Type Code : Individual
Provider Name (Legal Business Name) : YOLEXIS ISELA ORIHUELA PEREZ
Provider Business Mailing Address
First Line : 15040 SW 296TH ST
Second Line :
City : HOMESTEAD
State : FL
Zip : 33033-2828
Country : US
Telephone Number : 786-747-1482
Fax Number :
Provider Business Practice Location Address
First Line : 3175 S CONGRESS AVE STE 103
Second Line :
City : PALM SPRINGS
State : FL
Zip : 33461-2502
Country : US
Telephone Number : 561-729-6631
Fax Number : 561-771-6630
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2017
Last Update Date : 03/02/2026

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Directions to “ YOLEXIS ISELA ORIHUELA PEREZ ” Practice Location

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