MEDICARE: NEW YOU MED CARE CORP

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	261Q00000X	Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811644438
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW YOU MED CARE CORP

Provider Business Mailing Address
First Line	:	790 NW 107TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33172-3130
Country	:	US
Telephone Number	:	786-353-9410
Fax Number	:

Provider Business Practice Location Address
First Line	:	790 NW 107TH AVE STE 210
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33172-3158
Country	:	US
Telephone Number	:	786-353-9410
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	DIANNE SANCHEZ
Credential	:
Telephone Number	:	786-353-9410

Provider Enumeration Date	:	03/03/2022
Last Update Date	:	03/03/2022

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Directions to “NEW YOU MED CARE CORP ” Practice Location

Language	Start Address	Practice Location

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