Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Yadira Licea

Individual provider Case Manager/Care Coordinator · NPI 1396475778

Yadira Licea is a Case Manager/Care Coordinator in Miami, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2022

Practice location Address checks out

12030 SW 129th Ct Ste 211
Miami, FL 33186-4584
Phone: (305) 639-8760
Fax: (786) 953-5144
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X · Licence CBHCM104537 (FL)

Record details

NPI number1396475778
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 16, 2022
Last updated in NPPESJune 16, 2022
Certification dateJune 16, 2022
Mailing address15570 Sw 57th St, Miami, FL 33193-2512

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