Provider Demographics
NPI:1285098129
Name:GONZALEZ FUNES LOPEZ, YAHUMARA (ARNP-FNP)
Entity type:Individual
Prefix:MRS
First Name:YAHUMARA
Middle Name:
Last Name:GONZALEZ FUNES LOPEZ
Suffix:
Gender:F
Credentials:ARNP-FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12011 SW 24TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-2453
Mailing Address - Country:US
Mailing Address - Phone:305-282-5488
Mailing Address - Fax:
Practice Address - Street 1:9299 SW 152ND ST STE 206
Practice Address - Street 2:
Practice Address - City:PALMETTO BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-1776
Practice Address - Country:US
Practice Address - Phone:786-701-9211
Practice Address - Fax:786-866-6232
Is Sole Proprietor?:No
Enumeration Date:2016-04-06
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9247359363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily