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Yahumara Gonzalez Funes Lopez

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

9299 SW 152nd St Ste 206, Palmetto Bay, FL 33157-1776

PECOS Enrollment

Based on the most recent information from CMS, provider Yahumara Gonzalez Funes 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 4 days ago.

Profile Details

Provider ID
1285098129
Provider Type
Individual
Full Name
Gonzalez Funes Lopez, Yahumara
Title
Mrs.
Credential
ARNP-FNP

Gender
Female
Sole Proprietor
No
Enumeration Date
4/6/2016
Last Updated
5/18/2023

Contact Information

Practice Location

9299 SW 152nd St Ste 206, Palmetto Bay, FL 33157-1776

(786) 701-9211

(786) 866-6232

Mailing Location

12011 SW 24th Ter, Miami, FL 33175-2453

(305) 282-5488

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License ARNP9247359 Florida

Yahumara Gonzalez Funes Lopez

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Russo, Ana

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Pena Pacheco, Nariel

Pesant Hernandez, Olenia