Provider Demographics
NPI:1497121404
Name:YANES, JOSE (RRT RPFT)
Entity Type:Individual
Prefix:
First Name:JOSE
Middle Name:
Last Name:YANES
Suffix:
Gender:M
Credentials:RRT RPFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3621 SW 102ND AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-3851
Mailing Address - Country:US
Mailing Address - Phone:305-322-6381
Mailing Address - Fax:
Practice Address - Street 1:3621 SW 102ND AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-3851
Practice Address - Country:US
Practice Address - Phone:305-322-6381
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-13
Last Update Date:2015-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRT85142279P1006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279P1006XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredPulmonary Function Technologist