Provider Demographics
NPI:1093229437
Name:ORAMA CERVANTES, YAUMARA CECILIA (APRN)
Entity Type:Individual
Prefix:
First Name:YAUMARA
Middle Name:CECILIA
Last Name:ORAMA CERVANTES
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 SW 12TH ST APT 708
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33130-4298
Mailing Address - Country:US
Mailing Address - Phone:786-715-4388
Mailing Address - Fax:
Practice Address - Street 1:230 SW 12TH ST APT 708
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33130-4298
Practice Address - Country:US
Practice Address - Phone:786-715-4388
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-21
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X, 104100000X
FL11026084363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL11026084OtherAPRN
FL11026084Medicaid