Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jose Rodolfo Yegres, PA-C

Individual provider Physician Assistant · NPI 1871180745

Jose Rodolfo Yegres, PA-C is a Physician Assistant in Tallahassee, Florida. Qualified in 2020, 6 years ago. Practices with Tallahassee Memorial Healthcare Inc, a 497-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1300 Medical Dr
Tallahassee, FL 32308-4646
Phone: (850) 216-0109
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3606 Maclay Blvd S Ste 104, Tallahassee, FL 32312-1277 — (850) 210-0593

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1871180745
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 28, 2020
Last updated in NPPESAugust 27, 2021
Certification dateAugust 27, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Tallahassee Memorial Healthcare Inc — 497 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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