Healthcare Provider Details

I. General information

NPI: 1700716636
Provider Name (Legal Business Name): LIZ YANERIS GARCIA CACERES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

258 CALLE PROGRESO
AGUADILLA PR
00603-4845
US

IV. Provider business mailing address

HC 61 BOX 34906
AGUADA PR
00602-9552
US

V. Phone/Fax

Practice location:
  • Phone: 787-891-2015
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: