MEDICARE: YUNIERKYS ALFONSO MORENO

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	101YM0800X	Mental Health Counselor	IMH28109	FL

General Provider Information

NPI Number	:	1902757487
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YUNIERKYS ALFONSO MORENO

Provider Business Mailing Address
First Line	:	8009 SW 150TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33193-3132
Country	:	US
Telephone Number	:	786-498-6502
Fax Number	:

Provider Business Practice Location Address
First Line	:	15660 SW 72ND ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33193-1923
Country	:	US
Telephone Number	:	786-498-6502
Fax Number	:

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

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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Directions to “ YUNIERKYS ALFONSO MORENO ” Practice Location

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