MEDICARE: YELITZA PLACERES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program		PR

General Provider Information

NPI Number	:	1144193954
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YELITZA PLACERES

Provider Business Mailing Address
First Line	:	293 CALLE FLOR DE MAR # W8
Second Line	:
City	:	CANOVANAS
State	:	PR
Zip	:	00729-3351
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 CALLE HIPODROMO
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00909-2534
Country	:	US
Telephone Number	:	787-914-4815
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2025
Last Update Date	:	09/26/2025

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Directions to “ YELITZA PLACERES ” Practice Location

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