Individual ProviderOrlando Quevedo YanezNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address10201 SW 191st St, Cutler Bay, FL 33157-7727(305) 457-3154PECOS EnrollmentBased on the most recent information from CMS, provider Orlando Quevedo Yanez is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1174001739Provider TypeIndividualFull NameQuevedo Yanez, OrlandoCredentialNPGenderMaleSole ProprietorNoEnumeration Date8/4/2018Last Updated12/2/2020Contact InformationPractice LocationPractice Address10201 SW 191st St, Cutler Bay, FL 33157-7727Phone(305) 457-3154FaxUnlisted FaxMailing LocationMailing Address10201 SW 191st St, Cutler Bay, FL 33157-7727Phone(305) 457-3154FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAPRN9378608FloridaCode363LF0000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense9378608Florida