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Yvette Yulianna Lopez

Student in an Organized Health Care Education/Training Program

Student, Health Care

18701 N 67th Ave, Glendale, AZ 85308-7100

PECOS Enrollment

This provider is enrolled in PECOS as YVETTE LOPEZ.

Based on the most recent information from CMS, provider Yvette Yulianna Lopez is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 8 days ago.

Profile Details

Provider ID
1174272637
Provider Type
Individual
Full Name
Lopez, Yvette Yulianna
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
3/22/2022
Last Updated
3/25/2025

Contact Information

Practice Location

18701 N 67th Ave, Glendale, AZ 85308-7100

(623) 561-7279

Unlisted Fax

Mailing Location

4833 Caseta Rd, El Paso, TX 79922-1702

(915) 342-0065

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer Arizona

Yvette Yulianna Lopez

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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