Provider Demographics
NPI:1124796438
Name:YENNY PORRATA SERVICES CORP
Entity type:Organization
Organization Name:YENNY PORRATA SERVICES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP
Authorized Official - Prefix:MS
Authorized Official - First Name:YENNY
Authorized Official - Middle Name:
Authorized Official - Last Name:PORRATA
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:786-280-4187
Mailing Address - Street 1:16320 SW 66TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33193-5587
Mailing Address - Country:US
Mailing Address - Phone:786-280-4187
Mailing Address - Fax:
Practice Address - Street 1:13205 SW137 AVE
Practice Address - Street 2:SUITE 231
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186
Practice Address - Country:US
Practice Address - Phone:786-280-4187
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-01
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty