Provider Demographics
NPI:1467047688
Name:COLAS-SUAREZ, YUNEYSIS
Entity Type:Individual
Prefix:
First Name:YUNEYSIS
Middle Name:
Last Name:COLAS-SUAREZ
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 1:275 GROUND DOVE CIR
Mailing Address - Street 2:
Mailing Address - City:LEHIGH ACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33936-6933
Mailing Address - Country:US
Mailing Address - Phone:941-916-3825
Mailing Address - Fax:
Practice Address - Street 1:275 GROUND DOVE CIR
Practice Address - Street 2:
Practice Address - City:LEHIGH ACRES
Practice Address - State:FL
Practice Address - Zip Code:33936-6933
Practice Address - Country:US
Practice Address - Phone:941-916-3825
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-09
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLC426960888240OtherDRIVER L