Individual provider · NPI-1

Yurit Fonseca, LMT

Rehabilitation Unit · Miami, FL

NPI number1225345069
StatusActive
Last updated in NPPESAug 31, 2010

Details

NPI
1225345069
Entity type
Individual (NPI-1)
Name
Mr. Yurit Fonseca
Credential
LMT
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 31, 2010
Last updated
Aug 31, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
273Y00000X Rehabilitation UnitMA 58916FLYes

Practice location

2460 Sw 137th Ave Ste 248-249
Miami, FL 33175-8803

Phone 786-348-3857

Mailing address

14211 Sw 88th St Apt 412
Miami, FL 33186-8044

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