Healthcare Provider Details

I. General information

NPI: 1174438980
Provider Name (Legal Business Name): YARIELI MAYSONET
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BO NUEVO SECT LOS MORENOS CARR 167 R 816 KM 5.6
BAYAMON PR
00956
US

IV. Provider business mailing address

HC 4 BOX 8125
COMERIO PR
00782-9726
US

V. Phone/Fax

Practice location:
  • Phone: 787-875-2121
  • Fax: 787-693-5310
Mailing address:
  • Phone: 787-875-2121
  • Fax: 787-693-5310

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number10132
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: