Provider Demographics
NPI:1285832154
Name:AVELLANET, YANIRIS R (MD)
Entity Type:Individual
Prefix:DR
First Name:YANIRIS
Middle Name:R
Last Name:AVELLANET
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:YANIRIS
Other - Middle Name:R
Other - Last Name:AVELLANET
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:UNIVERSITY DISTRICT HOSPITAL
Mailing Address - Street 2:MEDICAL CENTER UDH ADULT 2
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00922-2116
Mailing Address - Country:US
Mailing Address - Phone:787-754-0101
Mailing Address - Fax:
Practice Address - Street 1:LA MANCHA COND APT 903
Practice Address - Street 2:
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00922-2116
Practice Address - Country:US
Practice Address - Phone:787-754-0101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR25970I207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology