=====================================================
General NPI Number Information
=====================================================
NPI Number | 1417036658
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | YAMILLE GISELA VARELA RPH
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/06/2006
-----------------------------------------------------
Last Update Date | 12/03/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | CARR 464 KM 2.3 BO. ACEITUNAS
-----------------------------------------------------
City | MOCA
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00676
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-508-3661
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | HC 59 BOX 5517
-----------------------------------------------------
City | AGUADA
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00602-9692
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-517-0100
-----------------------------------------------------
Fax | 787-609-6190
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 4828
-----------------------------------------------------
License Number State | PR
-----------------------------------------------------