Healthcare Provider Details

I. General information

NPI: 1851776314
Provider Name (Legal Business Name): FARMACIA YANI
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2015
Last Update Date: 07/27/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HC 6 BOX 17381
SAN SEBASTIAN PR
00685-9927
US

IV. Provider business mailing address

HC 6 BOX 17381
SAN SEBASTIAN PR
00685
US

V. Phone/Fax

Practice location:
  • Phone: 787-552-9327
  • Fax:
Mailing address:
  • Phone: 787-552-9327
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: YANIRA SANTIAGO
Title or Position: PHARMACIST
Credential:
Phone: 787-896-1212