Provider Demographics
NPI:1164910444
Name:GIL, YANELYS (FNP)
Entity Type:Individual
Prefix:
First Name:YANELYS
Middle Name:
Last Name:GIL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15835 SW 85TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33193-5223
Mailing Address - Country:US
Mailing Address - Phone:305-967-1343
Mailing Address - Fax:
Practice Address - Street 1:2601 SW 37TH AVE STE 601
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-2750
Practice Address - Country:US
Practice Address - Phone:786-655-8010
Practice Address - Fax:786-655-8013
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-23
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9342855363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner