Healthcare Provider Details

I. General information

NPI: 1568329266
Provider Name (Legal Business Name): MRS. VIANKA YAMARIL ESCOBALES SR.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/06/2026
Last Update Date: 01/06/2026
Certification Date: 01/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARRETERA 123 K. 54.6 INTERIOR BARRIO SALTO ARRIBA SECTOR EL GUANO
UTUADO PR
00641-7901
US

IV. Provider business mailing address

HC 4 BOX 10014
UTUADO PR
00641-7901
US

V. Phone/Fax

Practice location:
  • Phone: 787-397-7387
  • Fax:
Mailing address:
  • Phone: 787-397-7387
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License Number89398
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: