Provider Demographics
NPI:1053477729
Name:GUERRERO, YARIMAR A
Entity Type:Individual
Prefix:MRS
First Name:YARIMAR
Middle Name:A
Last Name:GUERRERO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35-27 CALLE 16
Mailing Address - Street 2:VILLA CAROLINA
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00985-5440
Mailing Address - Country:US
Mailing Address - Phone:787-257-8540
Mailing Address - Fax:787-257-6760
Practice Address - Street 1:35-27 CALLE 16
Practice Address - Street 2:VILLA CAROLINA
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985-5440
Practice Address - Country:US
Practice Address - Phone:787-257-8540
Practice Address - Fax:787-257-6760
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5397183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR5397OtherAUXILIAR DE FARMACIA