Provider Demographics
NPI:1255497301
Name:YAPOR, ARACELI (MD)
Entity Type:Individual
Prefix:
First Name:ARACELI
Middle Name:
Last Name:YAPOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7975 NW 154TH ST
Mailing Address - Street 2:SUITE #270
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33016
Mailing Address - Country:US
Mailing Address - Phone:305-698-6030
Mailing Address - Fax:305-698-6040
Practice Address - Street 1:7975 NW 154TH ST
Practice Address - Street 2:SUITE #270
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33016
Practice Address - Country:US
Practice Address - Phone:305-698-6030
Practice Address - Fax:305-698-6040
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-30
Last Update Date:2014-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0062985208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL371590600Medicaid
FL371590600Medicaid
FL18105Medicare ID - Type Unspecified