Yanina J Fiallos, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME69011 Issued in FL

Practice address

17541 N Dale Mabry Hwy
Lutz, FL 33548-4521

Phone

(813) 964-1800

Fax

(813) 964-1880

NPI assigned

Nov 15, 2006

Last updated

Apr 28, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430179200000",
    "number": "1558433359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17541 N DALE MABRY HWY",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335484521",
            "telephone_number": "813-964-1800",
            "fax_number": "813-964-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17541 N DALE MABRY HWY",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335484521",
            "telephone_number": "813-964-1800",
            "fax_number": "813-964-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIALLOS",
        "first_name": "YANINA",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2015-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME69011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "123078",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251448600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "32240",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arnaldo Fernandez Santiago, DC
• Dayana Fernandez-Pacheco Gorrin, CBHCMS
• Danielle Fernandez
• Yeniby Fernandez, OTD, OTR/L
• Joseph J. Ferrandino, PH.D.
• Jennifer R Fiedler
• Kimberly Ann Fielding-Maddison, MA, CRC,
• Swasha Dione Fields, M.D.
• Donald F Figliola, M.D.
• Find Your Way Counseling LLC

• Pediatrics Physician in Lutz, FL
• Providers in Lutz, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.