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NPI Code Detail

MEDICARE: YANERIS MOREJON

MEDICARE:   YANERIS  MOREJON
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 Practitioner11036550FL

General Provider Information

NPI Number : 1760297204
Entity Type Code : Individual
Provider Name (Legal Business Name) : YANERIS MOREJON
Provider Business Mailing Address
First Line : 6075 W 15TH CT
Second Line :
City : HIALEAH
State : FL
Zip : 33012-6201
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6075 W 15TH CT
Second Line :
City : HIALEAH
State : FL
Zip : 33012-6201
Country : US
Telephone Number : 786-380-0167
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2025
Last Update Date : 02/11/2025

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Directions to “ YANERIS MOREJON ” Practice Location

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