Yadiel Corrales Cruz, MD
Family Medicine in South Miami, FL. Individual provider (NPI-1).
NPI number1619613635
StatusActive
Last updated in NPPESDec 4, 2024
Details
- NPI
- 1619613635
- Entity type
- Individual (NPI-1)
- Name
- Yadiel Corrales Cruz
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 11, 2022
- Certification date
- Dec 4, 2024
- Last updated
- Dec 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | ME170324 | FL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
7031 Sw 62nd AveSouth Miami, FL 33143-4701
Phone 305-284-7761
Mailing address
7031 Sw 62nd AveSouth Miami, FL 33143-4701
Phone 305-284-7761
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