MEDICARE: YENISEL AVILA

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	183500000X	Pharmacist	PS55433	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PS55433	OTHER	FL	BOARD OF PHARMACY

General Provider Information

NPI Number	:	1720541386
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YENISEL AVILA

Provider Business Mailing Address
First Line	:	10700 CITY CENTER BLVD APT 5181
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33025-4089
Country	:	US
Telephone Number	:	305-200-9990
Fax Number	:

Provider Business Practice Location Address
First Line	:	4870 BISCAYNE BLVD
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33137-3215
Country	:	US
Telephone Number	:	305-573-8601
Fax Number	:

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

Provider Enumeration Date	:	04/10/2019
Last Update Date	:	04/10/2019

Similar Medicare Providers

1588558423 — ACCESS MEDICAL GROUP OF MIAMI MEDICARE, LLC
Practice Location Address:

701 NW 27TH AVE
MIAMI, FL
33125-3012

Practice Phone: 786-744-1900
Practice Fax: 305-760-4141

1932203916 — HOLIDAY CVS LLC
Practice Location Address:

4800 BISCAYNE BLVD
MIAMI, FL
33137-3215

Practice Phone: 305-576-4347
Practice Fax: 305-576-1887

1396103701 — PUBLIX SUPER MARKETS INC
Practice Location Address:

4870 BISCAYNE BLVD
MIAMI, FL
33137-3215

Practice Phone: 305-573-8017
Practice Fax: 786-725-3589

1881299758 — WALTER GRADY
Practice Location Address:

4800 BISCAYNE BLVD
MIAMI, FL
33137-3215

Practice Phone: 305-576-4347
Practice Fax: 305-576-1887

1811009327 — YAKO MEDICAL EQUIPMENT & SUPPLIES INC
Practice Location Address:

5584 NW 7TH ST
MIAMI, FL
33126-3215

Practice Phone: 305-263-3547
Practice Fax: 305-263-3548

1104026277 — EUFEMIA ALF, INC.
Practice Location Address:

3215 VILLAGE GREEN DR
MIAMI, FL
33175-3148

Practice Phone: 305-227-9633
Practice Fax:

Directions to “ YENISEL AVILA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.