Provider Demographics
NPI:1376519868
Name:FEBRES, YAZMIN M (MD)
Entity Type:Individual
Prefix:DR
First Name:YAZMIN
Middle Name:M
Last Name:FEBRES
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:C45 CALLE 2
Mailing Address - Street 2:URB PORTAL DE LOS PINOS
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-8502
Mailing Address - Country:US
Mailing Address - Phone:787-761-6189
Mailing Address - Fax:787-761-6189
Practice Address - Street 1:10 CALLE CASIA
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-3200
Practice Address - Country:US
Practice Address - Phone:787-641-7582
Practice Address - Fax:787-641-7582
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-24
Last Update Date:2012-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13167207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine