Provider Demographics
NPI:1346933579
Name:NAPOLES SANCHEZ, YURISLEIVY
Entity Type:Individual
Prefix:
First Name:YURISLEIVY
Middle Name:
Last Name:NAPOLES SANCHEZ
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 1:18020 NW 36TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33056-3449
Mailing Address - Country:US
Mailing Address - Phone:130-549-0388
Mailing Address - Fax:
Practice Address - Street 1:18020 NW 36TH AVE FL 33056
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33056-3449
Practice Address - Country:US
Practice Address - Phone:305-490-3883
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-01
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLF05231237363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty