Provider Demographics
NPI:1437753118
Name:CAPOTE, YANEISY
Entity Type:Individual
Prefix:
First Name:YANEISY
Middle Name:
Last Name:CAPOTE
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 1:13730 SW 112TH CT # 137
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-6459
Mailing Address - Country:US
Mailing Address - Phone:786-775-9037
Mailing Address - Fax:
Practice Address - Street 1:13730 SW 112TH CT # 137
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-6459
Practice Address - Country:US
Practice Address - Phone:786-775-9037
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-24
Last Update Date:2022-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
FL11010217363L00000X, 163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice