Provider Demographics
NPI:1518486240
Name:GARAY COTTO, YESEIDA (PHARMD)
Entity Type:Individual
Prefix:
First Name:YESEIDA
Middle Name:
Last Name:GARAY COTTO
Suffix:
Gender:F
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:HC 10 BOX 49210
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-9663
Mailing Address - Country:US
Mailing Address - Phone:787-374-5778
Mailing Address - Fax:
Practice Address - Street 1:MARGINAL AVENIDA KENNEDY CALLE SEGARRA
Practice Address - Street 2:EDIF. #411
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00936
Practice Address - Country:US
Practice Address - Phone:787-642-9748
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-13
Last Update Date:2017-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6314208U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208U00000XAllopathic & Osteopathic PhysiciansClinical Pharmacology