Provider Demographics
NPI:1164505186
Name:CARRION, YOLANDA (MD)
Entity Type:Individual
Prefix:
First Name:YOLANDA
Middle Name:
Last Name:CARRION
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 145
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-0145
Mailing Address - Country:US
Mailing Address - Phone:787-269-3743
Mailing Address - Fax:787-786-7315
Practice Address - Street 1:AVENIDA NOGAL 3B 22 URBANIZACION LOMAS VERDES
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956
Practice Address - Country:US
Practice Address - Phone:787-269-3743
Practice Address - Fax:787-786-7315
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2013-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12247207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR419955OtherPROSSAM
PR5025OtherPROSSAM
PR80001334OtherADVANCED HEALTH CARE
PR89041CAOtherTRIPLE S
PR212437OtherPREFERRED HEALTH UTI
PR3076OtherAMERICAN HEALTH
PR4312247OtherPLAN DE BIENESTAR UNION D
PR060403OtherCRUZ AZUL
PR500146EOtherMEDICARE Y MUCHO MAS
PRE23111OtherAEELA
PR212437OtherPREFERRED HEALTH UTI
G61342Medicare UPIN