MEDICARE: YEMNI MEDINA LLAMOSA

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
1	106S00000X	Behavior Technician	RBT-19109114	FL
2	363LF0000X	Family Nurse Practitioner	APRN11043125	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1568957173
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YEMNI MEDINA LLAMOSA

Provider Business Mailing Address
First Line	:	5655 W 25TH CT APT 31
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33016-4473
Country	:	US
Telephone Number	:	786-326-6180
Fax Number	:

Provider Business Practice Location Address
First Line	:	8260 W FLAGLER ST STE 2I
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33144-2069
Country	:	US
Telephone Number	:	786-715-9183
Fax Number	:	786-713-1115

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/26/2018
Last Update Date	:	06/08/2026

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Directions to “ YEMNI MEDINA LLAMOSA ” Practice Location

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