Provider Demographics
NPI:1861086431
Name:YIN & YANG REJUVENATION, CORP.
Entity type:Organization
Organization Name:YIN & YANG REJUVENATION, CORP.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YOULYS
Authorized Official - Middle Name:
Authorized Official - Last Name:VENTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-644-5691
Mailing Address - Street 1:6741 SW 24TH ST STE 42
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-1767
Mailing Address - Country:US
Mailing Address - Phone:786-644-5691
Mailing Address - Fax:786-980-2430
Practice Address - Street 1:6741 SW 24TH ST STE 42
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-1767
Practice Address - Country:US
Practice Address - Phone:305-842-4447
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:YING & YANG REJUVENATION, CORP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-02-24
Last Update Date:2021-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy