Provider Demographics
NPI:1831495357
Name:FIGUEROA, YANELIS
Entity Type:Individual
Prefix:MRS
First Name:YANELIS
Middle Name:
Last Name:FIGUEROA
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 1:8080 W FLAGLER ST
Mailing Address - Street 2:SUITE# 3F
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-2100
Mailing Address - Country:US
Mailing Address - Phone:305-267-6650
Mailing Address - Fax:305-262-5262
Practice Address - Street 1:8080 W FLAGLER ST
Practice Address - Street 2:SUITE# 3F
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-2100
Practice Address - Country:US
Practice Address - Phone:305-267-6650
Practice Address - Fax:305-262-5262
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-31
Last Update Date:2011-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA 61197261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL274128053OtherMASSAGE ESTABLICHMENT