Provider Demographics
NPI:1609669464
Name:YERA ALONSO, KELVIS (NREMT-P)
Entity type:Individual
Prefix:
First Name:KELVIS
Middle Name:
Last Name:YERA ALONSO
Suffix:
Gender:M
Credentials:NREMT-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:949 RIDGEVIEW CT UNIT B
Mailing Address - Street 2:
Mailing Address - City:SOUTH SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94080-1587
Mailing Address - Country:US
Mailing Address - Phone:786-823-1131
Mailing Address - Fax:
Practice Address - Street 1:1510 ROLLINS RD
Practice Address - Street 2:
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-2306
Practice Address - Country:US
Practice Address - Phone:165-023-5133
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-26
Last Update Date:2025-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAP48097146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic