Provider Demographics
NPI:1255175659
Name:ECHEVARRIA, YARENAYSI (DMD)
Entity type:Individual
Prefix:
First Name:YARENAYSI
Middle Name:
Last Name:ECHEVARRIA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10240 SW 24TH CT
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-6504
Mailing Address - Country:US
Mailing Address - Phone:786-202-6722
Mailing Address - Fax:
Practice Address - Street 1:33570 S DIXIE HWY
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33034-5620
Practice Address - Country:US
Practice Address - Phone:305-508-9025
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-20
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN29321122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist