| Yill Health Llc | |
|
2645 Sw 37th Ave Ste 504 Miami FL 33133-2744 | |
| (305) 527-0957 | |
| Not Available |
| Full Name | Yill Health Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2645 Sw 37th Ave Ste 504, Miami, Florida |
| Authorized Official Name and Position | Yill Bouza (SR MEM) |
| Authorized Official Contact | 3055270957 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yill Health Llc 2645 Sw 37th Ave Ste 504 Miami FL 33133-2744 Ph: (305) 527-0957 | Yill Health Llc 2645 Sw 37th Ave Ste 504 Miami FL 33133-2744 Ph: (305) 527-0957 |
| NPI Number | 1881267466 |
|---|---|
| Provider Enumeration Date | 07/21/2021 |
| Last Update Date | 07/21/2021 |
| Medicare PECOS PAC ID | 3072905074 |
|---|---|
| Medicare Enrollment ID | O20220125002937 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881267466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
| Provider Name | Ivan Dominguez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1609256072 PECOS PAC ID: 4385989250 Enrollment ID: I20181220002075 |
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