Provider Demographics
NPI:1265931018
Name:URQUIJO ALONSO, YILIAN DE LA CARIDAD
Entity type:Individual
Prefix:
First Name:YILIAN
Middle Name:DE LA CARIDAD
Last Name:URQUIJO ALONSO
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 1:7415 SW 152ND AVE APT 203
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33193-2337
Mailing Address - Country:US
Mailing Address - Phone:786-675-7710
Mailing Address - Fax:
Practice Address - Street 1:7415 SW 152ND AVE APT 203
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33193-2337
Practice Address - Country:US
Practice Address - Phone:786-675-7710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-07
Last Update Date:2018-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty