Healthcare Provider Details

I. General information

NPI: 1407996465
Provider Name (Legal Business Name): YAS CARIBE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

EB1 JOSE GAUTIER BENITEZ
LEVITTOWN PR
00949
US

IV. Provider business mailing address

EB-1BOULEVARD AVE.
LEVITTOWN PR
00949
US

V. Phone/Fax

Practice location:
  • Phone: 787-784-5265
  • Fax: 787-784-0900
Mailing address:
  • Phone: 787-784-5265
  • Fax: 787-784-0900

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: ABDULLAH A. YASSIN
Title or Position: PRESIDENT
Credential:
Phone: 787-784-5265