Healthcare Provider Details

I. General information

NPI: 1447780929
Provider Name (Legal Business Name): PLAZA HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2017
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AVE SANTA ANA #262 CENTRO COMERCIAL PLAZA ALTA MALL
BAYAMON PR
00957
US

IV. Provider business mailing address

PO BOX 8949
CAROLINA PR
00988-8949
US

V. Phone/Fax

Practice location:
  • Phone: 787-620-9605
  • Fax: 787-790-6720
Mailing address:
  • Phone: 787-717-5566
  • Fax: 787-474-6210

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: AWAD YASSIN
Title or Position: PRESIDENT
Credential:
Phone: 787-717-5566