Provider Demographics
NPI:1184598252
Name:SOCARRAS CORDOVI, YAMILA CONCEPCION
Entity type:Individual
Prefix:
First Name:YAMILA
Middle Name:CONCEPCION
Last Name:SOCARRAS CORDOVI
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 1:10101 W OKEECHOBEE RD APT 9202
Mailing Address - Street 2:
Mailing Address - City:HIALEAH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33016-3112
Mailing Address - Country:US
Mailing Address - Phone:305-501-9676
Mailing Address - Fax:
Practice Address - Street 1:10101 W OKEECHOBEE RD APT 9202
Practice Address - Street 2:
Practice Address - City:HIALEAH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33016-3112
Practice Address - Country:US
Practice Address - Phone:305-501-9676
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-01
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician