Provider Demographics
NPI:1154667244
Name:FABELO ACEVEDO, YOENNY (DC)
Entity Type:Individual
Prefix:
First Name:YOENNY
Middle Name:
Last Name:FABELO ACEVEDO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7392 NW 35TH TER STE 310
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33122-1260
Mailing Address - Country:US
Mailing Address - Phone:786-631-4976
Mailing Address - Fax:786-633-5185
Practice Address - Street 1:7392 NW 35TH TER STE 309
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33122-1260
Practice Address - Country:US
Practice Address - Phone:786-631-4976
Practice Address - Fax:786-633-5185
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-18
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA 66017225700000X
FLCH12702111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist