Provider Demographics
NPI:1386280311
Name:OFARRILL, YADIL
Entity type:Individual
Prefix:
First Name:YADIL
Middle Name:
Last Name:OFARRILL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 VALENCIA AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-5740
Mailing Address - Country:US
Mailing Address - Phone:786-355-1391
Mailing Address - Fax:
Practice Address - Street 1:430 VALENCIA AVE APT 2
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-5740
Practice Address - Country:US
Practice Address - Phone:786-355-1391
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-25
Last Update Date:2019-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver