Villalta, Yesenia D

Villalta, Yesenia D is an individual health care provider with primary practice located at 8175 Nw 12Th St Suite 306, Doral FL 33126-1828. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Villalta, Yesenia D can be contacted via phone (786) 845-0173.

Contact Information

Primary practice address
8175 Nw 12Th St Suite 306 Doral FL 33126-1828
Phone: (786) 845-0173
Fax: (305) 845-0306
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 3421002 Florida

Profile Details

NPI number 1609974351
LBN Legal business name Villalta, Yesenia D
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Feb 28th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609974351 NPPES
Florida MEDICAID 307046800

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