MEDICARE: YAMILET GUNTIN 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
1	1041C0700X	Clinical Social Worker	18112	FL

General Provider Information

NPI Number	:	1710709795
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YAMILET GUNTIN DO

Provider Business Mailing Address
First Line	:	3110 SW 21ST ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33145-2314
Country	:	US
Telephone Number	:	786-306-9591
Fax Number	:

Provider Business Practice Location Address
First Line	:	3110 SW 21ST ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33145-2314
Country	:	US
Telephone Number	:	786-306-9591
Fax Number	:

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

Provider Enumeration Date	:	10/30/2024
Last Update Date	:	10/30/2024

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