Provider Demographics
NPI:1295365674
Name:GARCIA CORTES, YANIEL A (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:YANIEL
Middle Name:A
Last Name:GARCIA CORTES
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 CALLE SAN NARCISO
Mailing Address - Street 2:
Mailing Address - City:AGUADA
Mailing Address - State:PR
Mailing Address - Zip Code:00602-3014
Mailing Address - Country:US
Mailing Address - Phone:787-672-5709
Mailing Address - Fax:
Practice Address - Street 1:CARR#2 PUERTO RICO, MAYAGUEZ, 00681
Practice Address - Street 2:
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00681
Practice Address - Country:US
Practice Address - Phone:787-652-9200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-24
Last Update Date:2020-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6693183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist