YGONGORANP LLC NPI 1275392805

NPI Information

  • NPI: 1275392805
  • Provider Name: YGONGORANP LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • :
  • CLIA Number: 10D2313713
  • Address: 540 NW 165TH ST STE 310
    MIAMI, FL
    ZIP 33169
  • Phone: (786) 562-7479

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NPI Details

YGONGORANP LLC is a family medicine in Miami, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. YGONGORANP LLC NPI is 1275392805. The provider is registered as an organization entity type and is a single specialty group.
The provider .

The provider's business location address is:

540 NW 165TH ST STE 310
MIAMI, FL
ZIP 33169-342
Phone: (786) 562-7479
Fax: (305) 564-7610

The provider's authorized official is Yovany Gongora .
The authorized official title is Owner and has the following contact phone number (786) 660-1844.

The CLIA number assigned to this NPI record is 10D2313713 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/18/2024 and was last updated on 2/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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