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NPI Code Detail

MEDICARE: YAIMA COSTALES PEREZ APRN

MEDICARE: YAIMA COSTALES PEREZ APRN
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 Practitioner11032009FL

General Provider Information

NPI Number : 1821838186
Entity Type Code : Individual
Provider Name (Legal Business Name) : YAIMA COSTALES PEREZ APRN
Provider Business Mailing Address
First Line : 10308 SERENADE LN
Second Line :
City : ROYAL PALM BEACH
State : FL
Zip : 33411-3107
Country : US
Telephone Number : 561-517-7033
Fax Number :
Provider Business Practice Location Address
First Line : 3145 S CONGRESS AVE STE A
Second Line :
City : PALM SPRINGS
State : FL
Zip : 33461-2553
Country : US
Telephone Number : 561-559-2371
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2024
Last Update Date : 06/01/2026

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Directions to “ YAIMA COSTALES PEREZ APRN” Practice Location

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