Provider Demographics
NPI:1891486783
Name:GONZALEZ-ARCIA, YANIRA ANNETTE
Entity Type:Individual
Prefix:DR
First Name:YANIRA
Middle Name:ANNETTE
Last Name:GONZALEZ-ARCIA
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 1:1400 SW 152ND PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33194-2663
Mailing Address - Country:US
Mailing Address - Phone:786-259-2284
Mailing Address - Fax:
Practice Address - Street 1:2517 NE 10TH CT
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33033-4719
Practice Address - Country:US
Practice Address - Phone:305-242-0996
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-19
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC6273152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist