Basic Information
Provider Information
NPI: 1063754091
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PRIETO
FirstName: YUNAIKY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: ARNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6101 BLUE LAGOON DR STE 400
Address2:  
City: MIAMI
State: FL
PostalCode: 331262051
CountryCode: US
TelephoneNumber: 3055002000
FaxNumber:  
Practice Location
Address1: 3099 SW 8TH ST
Address2:  
City: MIAMI
State: FL
PostalCode: 331354531
CountryCode: US
TelephoneNumber: 3056443100
FaxNumber: 3056443143
Other Information
ProviderEnumerationDate: 03/16/2013
LastUpdateDate: 12/13/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/13/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LA2200XA1212006FLY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health

No ID Information.


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