Provider Demographics
NPI:1508681438
Name:YEPES, JUAN CARLOS (MUSIC THERAPY)
Entity type:Individual
Prefix:
First Name:JUAN CARLOS
Middle Name:
Last Name:YEPES
Suffix:
Gender:M
Credentials:MUSIC THERAPY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9297 W 32ND LN
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33018-2062
Mailing Address - Country:US
Mailing Address - Phone:954-478-2687
Mailing Address - Fax:
Practice Address - Street 1:8040 NW 95TH ST STE 337
Practice Address - Street 2:
Practice Address - City:HIALEAH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33016-2361
Practice Address - Country:US
Practice Address - Phone:954-793-0775
Practice Address - Fax:786-641-5968
Is Sole Proprietor?:No
Enumeration Date:2024-11-16
Last Update Date:2024-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist