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NPI Code Detail

MEDICARE: YOMARA CARTAGENA

MEDICARE: YOMARA CARTAGENA
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1447916010
Entity Type Code : Individual
Provider Name (Legal Business Name) : YOMARA CARTAGENA
Provider Business Mailing Address
First Line : PO BOX 250731
Second Line :
City : MILWAUKEE
State : WI
Zip : 53225-6510
Country : US
Telephone Number : 414-526-3435
Fax Number :
Provider Business Practice Location Address
First Line : 9926 W SILVER SPRING DR
Second Line :
City : MILWAUKEE
State : WI
Zip : 53225-2906
Country : US
Telephone Number : 414-526-3435
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2021
Last Update Date : 11/09/2021

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Directions to “ YOMARA CARTAGENA ” Practice Location

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