MEDICARE: MS. YOCEL FONSECA SANTOS M.SC.

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
2	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1922972207
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. YOCEL FONSECA SANTOS M.SC.

Provider Business Mailing Address
First Line	:	1639 FORUM PL STE 7
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-2330
Country	:	US
Telephone Number	:	561-566-3284
Fax Number	:

Provider Business Practice Location Address
First Line	:	1701 N FLAGLER DR APT 104
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-6539
Country	:	US
Telephone Number	:	561-566-3284
Fax Number	:

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

Provider Enumeration Date	:	10/01/2025
Last Update Date	:	10/01/2025

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