Individual
YENSEA MAYRA COSTAS ENCARNACION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-4310
Mailing address
1611 NW 12TH AVE # 118B, MIAMI, FL 33136-1005
(305) 585-4310
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME163296
FL
Other
Enumeration date
03/20/2019
Last updated
09/10/2024
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