Active NPI
Christian Edgardo Yambo, MD
- Student in an Organized Health Care Education/Training Program
- Miami, FL
National Provider Identifier
1790461135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 11750 SW 40TH St, Miami, FL 33175
Miami, FL 33175 - Phone
- (954) 829-0639
- NPI assigned
- Jun 22, 2023
- Last updated
- Mar 27, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | Primary |
Addresses
Primary practice location
11750 SW 40TH St, Miami, FL 33175
Miami, FL 33175
Mailing address
11750 SW 40TH St, Miami, FL 33175
Miami, FL 33175
Phone (954) 829-0639
Other practice location 1
PHSU, 388 Zona Industrial Reparada 2, Ponce, PR 00716
Ponce, PR 00732
Phone (787) 840-2575
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
- Credentials
- Doctor of Medicine
Interoperability endpoints
- christian.yambochevere@hca4.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743033600000",
"number": "1790461135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11750 SW 40TH ST, MIAMI, FL 33175",
"city": "MIAMI",
"state": "FL",
"postal_code": "33175",
"telephone_number": "954-829-0639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11750 SW 40TH ST, MIAMI, FL 33175",
"city": "MIAMI",
"state": "FL",
"postal_code": "33175",
"telephone_number": "954-829-0639"
}
],
"practiceLocations": [
{
"address_1": "PHSU, 388 Zona Industrial Reparada 2, Ponce, PR 00716",
"address_purpose": "LOCATION",
"city": "Ponce",
"state": "PR",
"postal_code": "00732",
"country_code": "US",
"telephone_number": "787-840-2575",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YAMBO",
"first_name": "CHRISTIAN",
"middle_name": "EDGARDO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-22",
"last_updated": "2025-03-27",
"certification_date": "2025-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"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 Mar 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.