Provider Demographics
NPI:1518722248
Name:OQUENDO, YAJAIRA TORRES
Entity Type:Individual
Prefix:
First Name:YAJAIRA
Middle Name:TORRES
Last Name:OQUENDO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 CALLE OLIVO
Mailing Address - Street 2:
Mailing Address - City:LAS PIEDRAS
Mailing Address - State:PR
Mailing Address - Zip Code:00771-4500
Mailing Address - Country:US
Mailing Address - Phone:939-278-4940
Mailing Address - Fax:
Practice Address - Street 1:5 CALLE OLIVO
Practice Address - Street 2:
Practice Address - City:LAS PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00771-4500
Practice Address - Country:US
Practice Address - Phone:939-278-4940
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-21
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR148511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical