Provider Demographics
NPI:1396841201
Name:FELIPE, YIPCYS AMARILYS (DDS)
Entity Type:Individual
Prefix:MRS
First Name:YIPCYS
Middle Name:AMARILYS
Last Name:FELIPE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13310 SW 20TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-1100
Mailing Address - Country:US
Mailing Address - Phone:305-227-3430
Mailing Address - Fax:
Practice Address - Street 1:11944 SW 8TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33184-1672
Practice Address - Country:US
Practice Address - Phone:305-221-5112
Practice Address - Fax:305-221-5640
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2009-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 15968122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL800004325OtherTAX ID