Healthcare Provider Details

I. General information

NPI: 1386776748
Provider Name (Legal Business Name): YAZMIN Y ORAMA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/12/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HC-01 BOX 6007
BARCELONETA PR
00617
US

IV. Provider business mailing address

PARC. MARQUES CALLE LOS PINOS # 51
MANATI PR
00674
US

V. Phone/Fax

Practice location:
  • Phone: 787-970-3542
  • Fax: 787-970-0839
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number5413
License Number StatePR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: