MEDICARE: MRS. YAMILLE GISELA VARELA RPH

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	183500000X	Pharmacist	4828	PR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4828	OTHER	PR	PHARMACIST LICENSE

General Provider Information

NPI Number	:	1417036658
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. YAMILLE GISELA VARELA RPH

Provider Business Mailing Address
First Line	:	HC 59 BOX 5517
Second Line	:
City	:	AGUADA
State	:	PR
Zip	:	00602-9692
Country	:	US
Telephone Number	:	787-517-0100
Fax Number	:	787-609-6190

Provider Business Practice Location Address
First Line	:	CARR 464 KM 2.3 BO. ACEITUNAS
Second Line	:
City	:	MOCA
State	:	PR
Zip	:	00676
Country	:	US
Telephone Number	:	787-508-3661
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/06/2006
Last Update Date	:	12/03/2025

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