Provider Demographics
NPI:1295432706
Name:GATO SANTIESTEBAN, YUMNARY
Entity type:Individual
Prefix:
First Name:YUMNARY
Middle Name:
Last Name:GATO SANTIESTEBAN
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 1:5439 USEPPA DR
Mailing Address - Street 2:
Mailing Address - City:AVE MARIA
Mailing Address - State:FL
Mailing Address - Zip Code:34142-5078
Mailing Address - Country:US
Mailing Address - Phone:239-601-5159
Mailing Address - Fax:
Practice Address - Street 1:5439 USEPPA DR
Practice Address - Street 2:
Practice Address - City:AVE MARIA
Practice Address - State:FL
Practice Address - Zip Code:34142-5078
Practice Address - Country:US
Practice Address - Phone:239-601-5159
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-14
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program