Provider Demographics
NPI:1114188968
Name:DEL CUADRO, YIUSALIN P
Entity Type:Individual
Prefix:MS
First Name:YIUSALIN
Middle Name:P
Last Name:DEL CUADRO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:YIUSALIN
Other - Middle Name:P
Other - Last Name:DEL CUADRO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8717 NW 149TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33018-1314
Mailing Address - Country:US
Mailing Address - Phone:305-308-4379
Mailing Address - Fax:305-362-7399
Practice Address - Street 1:8717 NW 149TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33018-1314
Practice Address - Country:US
Practice Address - Phone:305-308-4379
Practice Address - Fax:305-362-7399
Is Sole Proprietor?:No
Enumeration Date:2008-06-24
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL918215222Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist