YVETTE MARIE SAN JUAN (NPI# 1275936866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275936866 |
| Entity Type | Individual |
| Full Name | YVETTE MARIE SAN JUAN |
| Practice Address |
8060 Trotting Course Ln Glendale NY 11385-8046 |
| Practice Telephone | 3475963677 |
| Mailing Telephone | 3475963677 |
| Enumeration Date | 2014-09-27 |
| Last Update Date | 2014-09-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
540075-1 | NY | Nursing Service Providers |
| Street Address |
8060 TROTTING COURSE LN |
| City | GLENDALE |
| State | NY |
| Zip Code | 11385-8046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326650425 | Nicole Jablonska | Speech-Language Pathologist | 60-24 Grove Street, Ridgewood, NY 11385 | 2020-08-19 |
| 1295393296 | Ila Debra Christmas | Clinic/Center | 67-29 Myrtle Avenue, Glendale, NY 11385 | 2019-06-04 |
| 1164929584 | Carmen E. Vidal | Case Manager/Care Coordinator | 61-06 Metropolitan Ave., Ridgewood, NY 11385 | 2018-04-11 |
| 1467955385 | Avchemists LLC | Pharmacy | 68-28 Myrtle Ave, Glendale, NY 11385 | 2018-03-16 |
| 1235639667 | Yu-jen Hwang | Physical Therapist | 55-05 Myrtle Avenue, 2nd Floor, Ridgewood, NY 11385 | 2018-02-12 |
| 1477069185 | Selena Delgado | Behavior Technician | 64-07 Cooper Avenue, Glendale, NY 11385 | 2017-12-18 |
| 1851806913 | Myrtle Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 7933 Myrtle Ave, Flushing, NY 11385 | 2017-12-11 |
| 1104345727 | Suzanne Eng | Counselor | 1080 Wykoff Ave., Suite D4, Ridgewood, NY 11385 | 2017-09-14 |
| 1588183339 | Geri P Services Inc. | Early Intervention Provider Agency | 5938 Gates Ave, Ridgewood, NY 11385 | 2017-09-13 |
| 1922523935 | Kristen Michele Spang | Speech-Language Pathologist | 79-56 77th Road, Glendale, NY 11385 | 2017-08-10 |
| Find all providers in zip 11385 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912027509 | Kieuanh T Pham | Registered Nurse | 20012 N 35th Ave, Glendale, AZ 85308-2204 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427665082 | Lisa M Grolling | Registered Nurse | 91 Butcher Rd, Hilton, NY 14468-9706 | 2020-09-28 |
| 1811514565 | Marie Andree Dorce | Registered Nurse | 7214 Bergen Cv, Brooklyn, NY 11234-7100 | 2020-06-29 |
| 1497384648 | Monica Mena | Registered Nurse | 88 Jean Ave, Hempstead, NY 11550-6325 | 2020-04-08 |
| 1609410406 | Marva Pow | Registered Nurse | 3644 Harper Ave, Bronx, NY 10466-5907 | 2019-11-05 |
| 1730720699 | Mary Kay A Gibbons | Registered Nurse | 1 Beach 105 Street, 12f, Rockaway Park, NY 11694 | 2019-10-02 |
| 1356800601 | Karene Ortensa Blake | Registered Nurse | 1584 Kenneth Ave, North Baldwin, NY 11510-1659 | 2019-03-17 |
| 1275099491 | Eunhee Kim | Registered Nurse | 105 Echo Ave, Miller Place, NY 11764-2205 | 2019-02-12 |
| 1487122180 | Penny Ann Bloom | Registered Nurse | 188 Clearwater Cir, Rochester, NY 14612-3081 | 2018-11-12 |
| 1952884900 | Annette Novena | Registered Nurse | 1007 E 57th St, Brooklyn, NY 11234-2507 | 2018-09-14 |
| 1316428022 | Quiera Decosta | Registered Nurse | 632 Wilson Ave, Brooklyn, NY 11207-1577 | 2018-08-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.