Provider Demographics
NPI:1154669653
Name:CARRASQUILLO, YARITZA MARIE (PHARM,D)
Entity Type:Individual
Prefix:DR
First Name:YARITZA
Middle Name:MARIE
Last Name:CARRASQUILLO
Suffix:
Gender:F
Credentials:PHARM,D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2232 SW 147TH PATH
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33185
Mailing Address - Country:US
Mailing Address - Phone:787-398-8356
Mailing Address - Fax:305-442-6774
Practice Address - Street 1:2232 SW 147TH PATH
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33185-4385
Practice Address - Country:US
Practice Address - Phone:787-398-8356
Practice Address - Fax:305-442-6774
Is Sole Proprietor?:No
Enumeration Date:2013-01-18
Last Update Date:2013-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS45670183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist