Provider Demographics
NPI:1265090187
Name:MONRREAL, YEHUDI AILYNNETTE (MD)
Entity type:Individual
Prefix:
First Name:YEHUDI
Middle Name:AILYNNETTE
Last Name:MONRREAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:YEHUDI
Other - Middle Name:AILYNNETTE
Other - Last Name:ROMERO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3130 N LEE TREVINO DR STE 114A
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-2179
Mailing Address - Country:US
Mailing Address - Phone:915-300-0067
Mailing Address - Fax:915-300-0044
Practice Address - Street 1:3130 N LEE TREVINO DR STE 114A
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-2179
Practice Address - Country:US
Practice Address - Phone:915-300-0067
Practice Address - Fax:915-300-0044
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-05
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXU0809207Q00000X
MA1013356207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine