Healthcare Provider Details

I. General information

NPI: 1154243582
Provider Name (Legal Business Name): YANILIS ACOSTA RAMOS I
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 AVE UNIV INTERAMERICANA
SAN GERMAN PR
00683-3922
US

IV. Provider business mailing address

URB. PASEO COSTA DEL SUR A22 CALLE 2
AGUIRRE PR
00704
US

V. Phone/Fax

Practice location:
  • Phone: 787-892-3333
  • Fax:
Mailing address:
  • Phone: 787-481-4648
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number2146
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: