Provider Demographics
NPI:1982286084
Name:PEREZ CONCEPCION, YAMIL
Entity type:Individual
Prefix:
First Name:YAMIL
Middle Name:
Last Name:PEREZ CONCEPCION
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 1:18042 SW 152ND CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33187-7766
Mailing Address - Country:US
Mailing Address - Phone:315-802-9929
Mailing Address - Fax:
Practice Address - Street 1:18042 SW 152ND CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33187-7766
Practice Address - Country:US
Practice Address - Phone:315-802-9929
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-27
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator