Provider Demographics
NPI:1316453020
Name:PORRATA, YENNY (ARNP - BC)
Entity type:Individual
Prefix:
First Name:YENNY
Middle Name:
Last Name:PORRATA
Suffix:
Gender:F
Credentials:ARNP - BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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 1:16320 SW 66TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33193-5587
Practice Address - Country:US
Practice Address - Phone:786-280-4187
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-18
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9214644363LF0000X
FLAPRN9214644363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily