Provider Demographics
NPI:1750531919
Name:ARACELI YAPOR MD PA
Entity type:Organization
Organization Name:ARACELI YAPOR MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARACELI
Authorized Official - Middle Name:
Authorized Official - Last Name:YAPOR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-698-6030
Mailing Address - Street 1:5881 NW 151ST ST STE 112
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-2455
Mailing Address - Country:US
Mailing Address - Phone:305-698-6030
Mailing Address - Fax:305-698-6040
Practice Address - Street 1:5881 NW 151ST ST
Practice Address - Street 2:SUITE # 112
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2450
Practice Address - Country:US
Practice Address - Phone:305-698-6030
Practice Address - Fax:305-698-6040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-24
Last Update Date:2008-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0062985208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL371590600Medicaid
FL371590600Medicaid
FL18105Medicare PIN