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NPI Code Detail

MEDICARE: IVANA VANESSA YERO DO

MEDICARE: IVANA VANESSA YERO DO
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
1207QG0300XGeriatric Medicine (Family Medicine) Physician22024FL

General Provider Information

NPI Number : 1457093171
Entity Type Code : Individual
Provider Name (Legal Business Name) : IVANA VANESSA YERO DO
Provider Business Mailing Address
First Line : 800 MEADOWS RD
Second Line :
City : BOCA RATON
State : FL
Zip : 33486-2304
Country : US
Telephone Number : 800-955-5365
Fax Number :
Provider Business Practice Location Address
First Line : 800 MEADOWS RD
Second Line :
City : BOCA RATON
State : FL
Zip : 33486-2304
Country : US
Telephone Number : 561-955-5365
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2022
Last Update Date : 01/06/2026

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