Active NPI
Yamileidys Pena
- Student in an Organized Health Care Education/Training Program
- Coral Gables, FL
National Provider Identifier
1952470460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 18392
- Practice address
- 3275 Coral Way
Coral Gables, FL 33145-2233 - Phone
- (305) 460-8941
- Fax
- (305) 460-8942
- NPI assigned
- Nov 7, 2006
- Sex
- Female
- 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 | 18392 | FL | Primary |
Addresses
Primary practice location
3275 Coral Way
Coral Gables, FL 33145-2233
Mailing address
641 NW 128TH CT
Miami, FL 33182-1158
Phone (305) 551-6941
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 |
|---|---|---|---|
| 18392 | FL | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952470460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "641 NW 128TH CT",
"city": "MIAMI",
"state": "FL",
"postal_code": "331821158",
"telephone_number": "305-551-6941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3275 CORAL WAY",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331452233",
"telephone_number": "305-460-8941",
"fax_number": "305-460-8942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENA",
"first_name": "YAMILEIDYS",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "18392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.