Provider Demographics
NPI:1447968508
Name:PEREIRA CALERO, YAHILY
Entity type:Individual
Prefix:
First Name:YAHILY
Middle Name:
Last Name:PEREIRA CALERO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6640 NW 7TH ST APT 303
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-4458
Mailing Address - Country:US
Mailing Address - Phone:786-302-0938
Mailing Address - Fax:
Practice Address - Street 1:6640 NW 7TH ST APT 303
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-4458
Practice Address - Country:US
Practice Address - Phone:786-302-0938
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-08
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLRBT-22-242717Medicaid