Provider Demographics
NPI:1356215925
Name:BAUZA-RODRIGUEZ, YOMARIS PATRICIA (FNP-C)
Entity type:Individual
Prefix:
First Name:YOMARIS
Middle Name:PATRICIA
Last Name:BAUZA-RODRIGUEZ
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4419 SW WABASH ST
Mailing Address - Street 2:
Mailing Address - City:PORT SAINT LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34953-6702
Mailing Address - Country:US
Mailing Address - Phone:787-595-8190
Mailing Address - Fax:
Practice Address - Street 1:4419 SW WABASH ST
Practice Address - Street 2:
Practice Address - City:PORT SAINT LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34953-6702
Practice Address - Country:US
Practice Address - Phone:787-595-8190
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-06
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11042342363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily