Provider Demographics
NPI:1134577398
Name:NOGALES, YADILKA
Entity type:Individual
Prefix:MRS
First Name:YADILKA
Middle Name:
Last Name:NOGALES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:YADILKA
Other - Middle Name:
Other - Last Name:TORRES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3336 W 92ND PL
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33018-2052
Mailing Address - Country:US
Mailing Address - Phone:305-322-6558
Mailing Address - Fax:305-675-7633
Practice Address - Street 1:3336 W 92ND PL
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33018-2052
Practice Address - Country:US
Practice Address - Phone:305-322-6558
Practice Address - Fax:305-675-7633
Is Sole Proprietor?:No
Enumeration Date:2016-05-28
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician