Provider Demographics
NPI:1821767286
Name:GARCIA VIERA, YAMILADY
Entity Type:Individual
Prefix:
First Name:YAMILADY
Middle Name:
Last Name:GARCIA VIERA
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 1:374 E 7TH ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010-4428
Mailing Address - Country:US
Mailing Address - Phone:786-657-0044
Mailing Address - Fax:
Practice Address - Street 1:374 E 7TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33010-4428
Practice Address - Country:US
Practice Address - Phone:786-657-0044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-09
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9490583163W00000X
FLF10220784363L00000X
FLAPRN11022532363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse