Provider Demographics
NPI:1447387915
Name:LEBRON, YAIRI A (RPH)
Entity Type:Individual
Prefix:
First Name:YAIRI
Middle Name:A
Last Name:LEBRON
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:A1 REPTO MEDINA
Mailing Address - Street 2:
Mailing Address - City:SAN LORENZO
Mailing Address - State:PR
Mailing Address - Zip Code:00754-4207
Mailing Address - Country:US
Mailing Address - Phone:787-477-7756
Mailing Address - Fax:787-285-4055
Practice Address - Street 1:STREET NOYA AND HERNANDEZ #2
Practice Address - Street 2:FARMACIA MARISEL #1
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00792
Practice Address - Country:US
Practice Address - Phone:787-852-4180
Practice Address - Fax:787-285-4055
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5109183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist