Organization
YENITZA I ORTIZ VILLEGAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YENITZA I ORTIZ VILLEGAS (PRESIDENT)
(786) 238-7321
Entity
Organization
Contact information
Practice address
2500 NW 79TH AVE STE 256, DORAL, FL 33122-1087
(786) 238-7321
Mailing address
2500 NW 79TH AVE STE 256, DORAL, FL 33122-1087
(786) 238-7321
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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