| Ying & Yang Rejuvenation Corp | |
|
6741 Sw 24th St Ste 42 Miami FL 33155-1767 | |
| (305) 842-4447 | |
| Not Available |
| Full Name | Ying & Yang Rejuvenation Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | 6741 Sw 24th St Ste 42, Miami, Florida |
| Authorized Official Name and Position | Youlys Vento (OWNER) |
| Authorized Official Contact | 7866445691 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ying & Yang Rejuvenation Corp 6741 Sw 24th St Ste 42 Miami FL 33155-1767 Ph: (786) 644-5691 | Ying & Yang Rejuvenation Corp 6741 Sw 24th St Ste 42 Miami FL 33155-1767 Ph: (305) 842-4447 |
| NPI Number | 1861086431 |
|---|---|
| Provider Enumeration Date | 02/24/2021 |
| Last Update Date | 07/30/2021 |
| Certification Date | 07/30/2021 |
| Medicare PECOS PAC ID | 3476950544 |
|---|---|
| Medicare Enrollment ID | O20210916002683 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861086431 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | (NU) | Secondary |
| Provider Name | Rosa M Huguet |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1306824552 PECOS PAC ID: 2567421860 Enrollment ID: I20150205002144 |
| Provider Name | Jessica Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578088175 PECOS PAC ID: 1658809702 Enrollment ID: I20250429000944 |
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