Provider Demographics
NPI:1942668413
Name:SANCHEZ ABRINES, YUDISMELKIS
Entity Type:Individual
Prefix:
First Name:YUDISMELKIS
Middle Name:
Last Name:SANCHEZ ABRINES
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 1:4301 SW 102ND AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-5020
Mailing Address - Country:US
Mailing Address - Phone:786-580-7804
Mailing Address - Fax:
Practice Address - Street 1:8841 W FLAGLER ST
Practice Address - Street 2:APT 202
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-2485
Practice Address - Country:US
Practice Address - Phone:786-580-7804
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-29
Last Update Date:2020-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA15195235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist