MEDICARE: MS. YADISNAY GUADALUPE GARCIA

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	363LF0000X	Family Nurse Practitioner	APRN11037352	FL
2	101Y00000X	Counselor
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	863426	NV
4	363L00000X	Nurse Practitioner	863426	NV

General Provider Information

NPI Number	:	1801266713
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. YADISNAY GUADALUPE GARCIA

Provider Business Mailing Address
First Line	:	13776 SW 8TH ST STE 103
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33184-3030
Country	:	US
Telephone Number	:	702-742-5496
Fax Number	:

Provider Business Practice Location Address
First Line	:	2121 E FLAMINGO RD STE 204
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-5124
Country	:	US
Telephone Number	:	702-680-5874
Fax Number	:

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

Provider Enumeration Date	:	10/05/2015
Last Update Date	:	12/13/2025

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