Provider Demographics
NPI:1235748054
Name:LUGO-PEREZ, YANIA (ARNP-FNP)
Entity Type:Individual
Prefix:
First Name:YANIA
Middle Name:
Last Name:LUGO-PEREZ
Suffix:
Gender:F
Credentials:ARNP-FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24728 SW 114TH CT
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33032-4661
Mailing Address - Country:US
Mailing Address - Phone:305-873-3203
Mailing Address - Fax:
Practice Address - Street 1:24728 SW 114TH CT
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33032-4661
Practice Address - Country:US
Practice Address - Phone:305-873-3203
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-28
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLF07201984363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily