Provider Demographics
NPI:1316919871
Name:CHEN, YAT-MIN (MD)
Entity type:Individual
Prefix:DR
First Name:YAT-MIN
Middle Name:
Last Name:CHEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:YIH-MIN
Other - Middle Name:
Other - Last Name:CHEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5350 W HILLSBORO BLVD
Mailing Address - Street 2:STE. 102
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33073-4396
Mailing Address - Country:US
Mailing Address - Phone:954-725-7660
Mailing Address - Fax:954-725-7605
Practice Address - Street 1:5350 W HILLSBORO BLVD
Practice Address - Street 2:STE. 102
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33073-4396
Practice Address - Country:US
Practice Address - Phone:954-725-7660
Practice Address - Fax:954-725-7605
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-07
Last Update Date:2015-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME-0068694207V00000X
CAA054243207V00000X
NY196121207V00000X
NJ56330207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL252850903Medicaid
G18664Medicare UPIN
FL42773ZMedicare PIN
65-0787811OtherTAX ID