Provider Demographics
NPI:1689437634
Name:YESHUA MEDICAL CENTER INC
Entity type:Organization
Organization Name:YESHUA MEDICAL CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:YANET
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ PRIETO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-877-1646
Mailing Address - Street 1:13255 SW 137TH AVE STE 109
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-5327
Mailing Address - Country:US
Mailing Address - Phone:786-250-4145
Mailing Address - Fax:786-250-4129
Practice Address - Street 1:13255 SW 137TH AVE STE 109
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-5327
Practice Address - Country:US
Practice Address - Phone:786-877-1646
Practice Address - Fax:786-250-4129
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-02
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty