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NPI Code Detail

MEDICARE: DR. YENEIR URQUIZA DIGGLE D.M.D.

MEDICARE:  DR. YENEIR URQUIZA DIGGLE  D.M.D.
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
11223G0001XGeneral Practice DentistryDN19806FL
21223G0001XGeneral Practice DentistryDN 19806FL

General Provider Information

NPI Number : 1629325592
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. YENEIR URQUIZA DIGGLE D.M.D.
Provider Business Mailing Address
First Line : 700 SE BECKER RD # 101
Second Line :
City : PORT SAINT LUCIE
State : FL
Zip : 34984-6621
Country : US
Telephone Number : 786-301-5629
Fax Number :
Provider Business Practice Location Address
First Line : 4000 ATLANTIC BLVD STE 101
Second Line :
City : VERO BEACH
State : FL
Zip : 32960-2479
Country : US
Telephone Number : 772-567-2132
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2012
Last Update Date : 01/16/2025

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Directions to “ DR. YENEIR URQUIZA DIGGLE D.M.D.” Practice Location

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