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NPI Code Detail

MEDICARE: YAJAIRA DE LA ESPADA

MEDICARE:   YAJAIRA  DE LA ESPADA
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
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General Provider Information

NPI Number : 1508704644
Entity Type Code : Individual
Provider Name (Legal Business Name) : YAJAIRA DE LA ESPADA
Provider Business Mailing Address
First Line : 5900 BALCONES DR STE 100
Second Line :
City : AUSTIN
State : TX
Zip : 78731-4298
Country : US
Telephone Number : 305-336-1131
Fax Number :
Provider Business Practice Location Address
First Line : 5900 BALCONES DR STE 100
Second Line :
City : AUSTIN
State : TX
Zip : 78731-4298
Country : US
Telephone Number : 305-336-1131
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2026
Last Update Date : 03/23/2026

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Directions to “ YAJAIRA DE LA ESPADA ” Practice Location

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