Healthcare Provider Details

I. General information

NPI: 1083519318
Provider Name (Legal Business Name): YASIEL SANCHEZ SERRANO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR #3 URB. BUZO 443 SUITE 4
HUMACAO PR
00792
US

IV. Provider business mailing address

CARR #3 URB. BUZO 443 SUITE 4
HUMACAO PR
00792
US

V. Phone/Fax

Practice location:
  • Phone: 787-914-0122
  • Fax:
Mailing address:
  • Phone: 787-852-2828
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number17691
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: