Provider Demographics
NPI:1184104564
Name:PUERTO TURCAS, YIMY CARLOS (APRN)
Entity type:Individual
Prefix:
First Name:YIMY
Middle Name:CARLOS
Last Name:PUERTO TURCAS
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1951 NW 7TH AVE STE 480
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-1121
Mailing Address - Country:US
Mailing Address - Phone:305-243-2584
Mailing Address - Fax:305-243-8907
Practice Address - Street 1:1951 NW 7TH AVE STE 480
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1121
Practice Address - Country:US
Practice Address - Phone:305-243-2584
Practice Address - Fax:305-243-8907
Is Sole Proprietor?:No
Enumeration Date:2018-08-15
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9373167363LF0000X
FLAPRN9373167363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily