Provider Demographics
NPI:1336686807
Name:ORIHUELA PEREZ, YOLEXIS ISELA
Entity Type:Individual
Prefix:
First Name:YOLEXIS
Middle Name:ISELA
Last Name:ORIHUELA PEREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7725 N KENDALL DR
Mailing Address - Street 2:APT A221
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-7598
Mailing Address - Country:US
Mailing Address - Phone:786-747-1482
Mailing Address - Fax:
Practice Address - Street 1:7725 N KENDALL DR
Practice Address - Street 2:APT A221
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-7598
Practice Address - Country:US
Practice Address - Phone:786-747-1482
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-23
Last Update Date:2021-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL106S00000X
FL20-142041106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician