Healthcare Provider Details

I. General information

NPI: 1316495971
Provider Name (Legal Business Name): ARYS MARIE YUNQUE AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/13/2016
Last Update Date: 04/22/2025
Certification Date: 04/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

609 PATRIOT DR
LANCASTER PA
17601-6767
US

IV. Provider business mailing address

609 PATRIOT DR
LANCASTER PA
17601-6767
US

V. Phone/Fax

Practice location:
  • Phone: 787-691-5104
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number1008
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number1008
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: