MEDICARE: YAMELYS SANABRIA MENDEZ DC

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	111N00000X	Chiropractor	CH12203	FL

General Provider Information

NPI Number	:	1578084026
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YAMELYS SANABRIA MENDEZ DC

Provider Business Mailing Address
First Line	:	1575 S SR 15A STE 300
Second Line	:
City	:	DELAND
State	:	FL
Zip	:	32720-7810
Country	:	US
Telephone Number	:	386-951-9200
Fax Number	:	386-279-0200

Provider Business Practice Location Address
First Line	:	1575 S SR 15A STE 300
Second Line	:
City	:	DELAND
State	:	FL
Zip	:	32720-7810
Country	:	US
Telephone Number	:	386-951-9200
Fax Number	:	386-279-0200

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

Provider Enumeration Date	:	07/05/2017
Last Update Date	:	12/19/2025

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