Healthcare Provider Details

I. General information

NPI: 1144584012
Provider Name (Legal Business Name): YOLIANNE A LOZADA CAPRILES M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2012
Last Update Date: 07/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

735 AVE PONCE DE LEON STE 812
SAN JUAN PR
00917-5031
US

IV. Provider business mailing address

15 CALLE LUNA URB ADOQUINES
SAN JUAN PR
00926
US

V. Phone/Fax

Practice location:
  • Phone: 787-758-2000
  • Fax:
Mailing address:
  • Phone: 787-293-5386
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number283389
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number19237
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: