Provider Demographics
NPI:1699341164
Name:ROBLES VELAZQUEZ, YULYMAR
Entity type:Individual
Prefix:
First Name:YULYMAR
Middle Name:
Last Name:ROBLES VELAZQUEZ
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 1:413 W VINE ST
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-4154
Mailing Address - Country:US
Mailing Address - Phone:407-785-3265
Mailing Address - Fax:407-343-5978
Practice Address - Street 1:6917 NARCOOSSEE RD STE 728
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32822-7002
Practice Address - Country:US
Practice Address - Phone:407-437-9964
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-03
Last Update Date:2023-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator