MEDICARE: YUNEZ LASER VEINS CLINIC, LLC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	202K00000X	Phlebology Physician

General Provider Information

NPI Number	:	1225887904
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YUNEZ LASER VEINS CLINIC, LLC.

Provider Business Mailing Address
First Line	:	150 AVE DE DIEGO STE 608
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00907-2318
Country	:	US
Telephone Number	:	787-723-7398
Fax Number	:	312-448-6117

Provider Business Practice Location Address
First Line	:	150 AVE DE DIEGO STE 608
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00907-2318
Country	:	US
Telephone Number	:	787-723-7398
Fax Number	:	312-448-6117

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SALVADOR YUNEZ
Credential	:	MD
Telephone Number	:	787-723-7398

Provider Enumeration Date	:	05/15/2024
Last Update Date	:	05/15/2024

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