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NPI Code Detail

MEDICARE: ROSA YANERI BUENO CACERES

MEDICARE: ROSA YANERI BUENO CACERES
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
1363LF0000XFamily Nurse PractitionerF359580-01NY

General Provider Information

NPI Number : 1427989219
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSA YANERI BUENO CACERES
Provider Business Mailing Address
First Line : 1467 TAYLOR AVE APT 16
Second Line :
City : BRONX
State : NY
Zip : 10460-3745
Country : US
Telephone Number : 929-364-5749
Fax Number :
Provider Business Practice Location Address
First Line : 3709 FLATLANDS AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-3507
Country : US
Telephone Number : 718-444-7766
Fax Number : 718-285-3631
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2026
Last Update Date : 05/28/2026

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Directions to “ ROSA YANERI BUENO CACERES ” Practice Location

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