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NPI Code Detail

MEDICARE: ISABEL K. YAGUE ARNP, INC.

MEDICARE: ISABEL K. YAGUE ARNP, INC.
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
1363LF0000XFamily Nurse Practitioner

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1ARNP9264571OTHERFLMEDICAL LICENSE

General Provider Information

NPI Number : 1730731340
Entity Type Code : Organization
Provider Name (Legal Business Name) : ISABEL K. YAGUE ARNP, INC.
Provider Business Mailing Address
First Line : 2461 SW 84TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33155-2458
Country : US
Telephone Number : 786-351-0167
Fax Number : 305-402-0941
Provider Business Practice Location Address
First Line : 2461 SW 84TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33155-2458
Country : US
Telephone Number : 786-351-0167
Fax Number : 305-402-0941
Authorized Official
Title or Position : OWNER
Name : MRS. ISABEL KARINA YAGUE
Credential : APRN
Telephone Number : 786-351-0167
Provider Enumeration Date : 07/13/2019
Last Update Date : 07/13/2019

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