Doctor Name: | MRS. YUDELKIS RICARDO |
NPI Number: | 1043580814 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | MA 66099 |
Business Practice Address: | 8660 W Flagler St Suite 104 Miami, FL - 331442031 |
Business Phone Number: | 3052229214 |
Business Fax Number: | 3052229244 |
Mailing Address: | 8660 W Flagler St, Suite 104 MIAMI |
State: | FL |
Postal Code: | 331442031 |
Phone Number: | 3052229214 |
Fax Number: | 3052229244 |
NPI Enumeration Date: | 01/10/2012 |
NPI Last Update Date: | 01/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA 66099 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |