Provider Demographics
NPI:1093491268
Name:RAMIREZ PEREZ, YUNIESKA MARILLANYS
Entity Type:Individual
Prefix:
First Name:YUNIESKA
Middle Name:MARILLANYS
Last Name:RAMIREZ PEREZ
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:PO BOX 82969
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33682-2969
Mailing Address - Country:US
Mailing Address - Phone:813-955-6447
Mailing Address - Fax:
Practice Address - Street 1:7814 N DALE MABRY HWY FL 3220
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-3220
Practice Address - Country:US
Practice Address - Phone:813-397-5300
Practice Address - Fax:813-738-9023
Is Sole Proprietor?:No
Enumeration Date:2023-06-23
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11026816363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily