MEDICARE: YURCALIS POSADA MARTINEZ

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
2	1041S0200X	School Social Worker

General Provider Information

NPI Number	:	1801634431
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YURCALIS POSADA MARTINEZ

Provider Business Mailing Address
First Line	:	150 W 8TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33010-4376
Country	:	US
Telephone Number	:	561-607-6097
Fax Number	:

Provider Business Practice Location Address
First Line	:	150 W 8TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33010-4376
Country	:	US
Telephone Number	:	561-607-6097
Fax Number	:

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

Provider Enumeration Date	:	07/17/2024
Last Update Date	:	07/17/2024

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Directions to “ YURCALIS POSADA MARTINEZ ” Practice Location

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