Provider Demographics
NPI:1063429736
Name:Y & CROSS MEDICAL INC
Entity type:Organization
Organization Name:Y & CROSS MEDICAL INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:YAMILA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-718-4893
Mailing Address - Street 1:801 MADRID ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-2283
Mailing Address - Country:US
Mailing Address - Phone:786-718-4893
Mailing Address - Fax:305-675-2668
Practice Address - Street 1:801 MADRID ST
Practice Address - Street 2:SUITE 2
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-2283
Practice Address - Country:US
Practice Address - Phone:786-718-4893
Practice Address - Fax:305-675-2668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC7145261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLHCC7145OtherAHCA LICENSE