Provider Demographics
NPI:1598432825
Name:OBREGON REYES, YUISY (FNP)
Entity Type:Individual
Prefix:
First Name:YUISY
Middle Name:
Last Name:OBREGON REYES
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17210 NW 33RD CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33056-4217
Mailing Address - Country:US
Mailing Address - Phone:786-294-1202
Mailing Address - Fax:
Practice Address - Street 1:17210 NW 33RD CT
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33056-4217
Practice Address - Country:US
Practice Address - Phone:786-294-1202
Practice Address - Fax:305-962-8879
Is Sole Proprietor?:No
Enumeration Date:2021-08-25
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11014351363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily