1295579761 NPI number — MR. YONATHAN JOSEPH DELOUYA M.D.

Table of content: MR. YONATHAN JOSEPH DELOUYA M.D. (NPI 1295579761)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1295579761 NPI number — MR. YONATHAN JOSEPH DELOUYA M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DELOUYA
Provider First Name:
YONATHAN
Provider Middle Name:
JOSEPH
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1295579761
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/22/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9387 EAST BAY HARBOR DRIVE
Provider Second Line Business Mailing Address:
APT 303 S
Provider Business Mailing Address City Name:
BAY HARBOR ISLANDS
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33154
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
645-200-2632
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1611 NW 12 AVENUE
Provider Second Line Business Practice Location Address:
ANESTHESIOLOGY DEPARTMENT, C-301
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33136
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-585-6970
Provider Business Practice Location Address Fax Number:
305-545-6501
Provider Enumeration Date:
06/20/2024

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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