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NPI Code Detail

MEDICARE: YAHAIDA RIMOLA-DEJESUS DO

MEDICARE: YAHAIDA RIMOLA-DEJESUS 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
1207Q00000XFamily Medicine PhysicianOS17379FL

Other Identifiers

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

General Provider Information

NPI Number : 1588827851
Entity Type Code : Individual
Provider Name (Legal Business Name) : YAHAIDA RIMOLA-DEJESUS DO
Provider Business Mailing Address
First Line : 6037 KIMBERLY BLVD
Second Line :
City : NORTH LAUDERDALE
State : FL
Zip : 33068-2811
Country : US
Telephone Number : 954-379-8994
Fax Number : 954-289-4682
Provider Business Practice Location Address
First Line : 6037 KIMBERLY BLVD
Second Line :
City : NORTH LAUDERDALE
State : FL
Zip : 33068-2811
Country : US
Telephone Number : 954-379-8994
Fax Number : 954-289-4682
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2008
Last Update Date : 02/15/2021

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