Provider Demographics
NPI:1073118923
Name:AGUILERA CABRERA, YENI
Entity Type:Individual
Prefix:
First Name:YENI
Middle Name:
Last Name:AGUILERA CABRERA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:461 TO TO LO CHEE DR
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010-5241
Mailing Address - Country:US
Mailing Address - Phone:305-213-6086
Mailing Address - Fax:
Practice Address - Street 1:802 E 25TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33013-3402
Practice Address - Country:US
Practice Address - Phone:305-213-6086
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS56861183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist