Provider Demographics
NPI:1689462103
Name:CUCCIA, YINY E
Entity type:Individual
Prefix:
First Name:YINY
Middle Name:E
Last Name:CUCCIA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 BEACOM BLVD APT 9
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-3034
Mailing Address - Country:US
Mailing Address - Phone:404-552-8513
Mailing Address - Fax:
Practice Address - Street 1:711 BEACOM BLVD APT 9
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-3034
Practice Address - Country:US
Practice Address - Phone:404-552-8513
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-25
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
102649171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171R00000XOther Service ProvidersInterpreterGroup - Single Specialty