Active NPI
Dariel Ernesto Yglesias
- Pharmacist
- Miami, FL
National Provider Identifier
1396510830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 66605
- Practice address
- 1601 SW 107TH Ave
Miami, FL 33165-7344 - Phone
- (305) 554-1706
- Fax
- (305) 554-6140
- NPI assigned
- Nov 15, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 66605 | FL | Primary |
Addresses
Primary practice location
1601 SW 107TH Ave
Miami, FL 33165-7344
Mailing address
1601 SW 107TH Ave
Miami, FL 33165-7344
Phone (305) 554-1706
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66605 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700006400000",
"number": "1396510830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 SW 107TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331657344",
"telephone_number": "305-554-1706",
"fax_number": "305-554-6140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 SW 107TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331657344",
"telephone_number": "305-554-1706",
"fax_number": "305-554-6140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YGLESIAS",
"first_name": "DARIEL",
"middle_name": "ERNESTO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-11-15",
"last_updated": "2023-11-15",
"certification_date": "2023-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "66605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.