What is Yusdeny Fajardo's NPI number?

The NPI number assigned to this healthcare provider is 1588690200, enumerated as a individual on June 24, 2006.

Where is the provider located?

The provider is located at 3900 NW 79TH AVE SUITE 322 DORAL, FL 33166 and the phone number is (305) 471-9500.

What is the provider's specialty?

The provider's specialty is General Practice with taxonomy code 208D00000X.

MR. YUSDENY FAJARDO V.P. - NPI 1588690200 - General Practice in Doral, FL

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About Mr. Yusdeny Fajardo V.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. YUSDENY FAJARDO V.P. (NPI 1588690200) is an individual general practice provider in Doral, Florida, licensed in Florida (ME37781) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1588690200

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameMR. YUSDENY FAJARDOCredential: V.P.

Location Address3900 NW 79TH AVE, SUITE 322Doral, FL 33166-6556

Mailing Address3900 Nw 79th Ave, Suite 322Doral, FL 33166-6556 · (305) 471-9500 · Fax (305) 471-9870

Phone(305) 471-9500

Fax(305) 471-9870

Sole ProprietorNo

Enumeration DateJune 24, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1588690200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in FL · ME37781

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

3900 NW 79TH AVE, Doral, FL 33166

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