Provider Demographics
NPI:1932907029
Name:PEREZ LOZANO, YANEISY CARIDAD
Entity type:Individual
Prefix:
First Name:YANEISY
Middle Name:CARIDAD
Last Name:PEREZ LOZANO
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 1:23717 SW 116TH CT
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33032-7195
Mailing Address - Country:US
Mailing Address - Phone:305-877-0790
Mailing Address - Fax:
Practice Address - Street 1:23717 SW 116TH CT
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33032-7195
Practice Address - Country:US
Practice Address - Phone:305-877-0790
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician