Provider Demographics
NPI:1235692815
Name:YANES CANALES, GERMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:GERMAN
Middle Name:
Last Name:YANES CANALES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:GERMAN
Other - Middle Name:
Other - Last Name:YANES CANALES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4620 SIERRA CREEK DR
Mailing Address - Street 2:
Mailing Address - City:HOSCHTON
Mailing Address - State:GA
Mailing Address - Zip Code:30548
Mailing Address - Country:US
Mailing Address - Phone:470-629-2044
Mailing Address - Fax:678-765-1401
Practice Address - Street 1:100 AVE LUIS MUNOZ MARIN
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-6184
Practice Address - Country:US
Practice Address - Phone:787-653-6060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-10
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16688-I208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice