Provider Demographics
NPI:1851931034
Name:VARELA URREA, TROZKI YOVANY
Entity Type:Individual
Prefix:
First Name:TROZKI
Middle Name:YOVANY
Last Name:VARELA URREA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 CAMINO EL ESTERO
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-3231
Mailing Address - Country:US
Mailing Address - Phone:831-649-4522
Mailing Address - Fax:831-649-1581
Practice Address - Street 1:41 E SAN LUIS ST
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-3437
Practice Address - Country:US
Practice Address - Phone:831-676-3715
Practice Address - Fax:831-287-4841
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-15
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty