Provider Demographics
NPI:1558443499
Name:CASIANO, YOLANDA (DMD)
Entity Type:Individual
Prefix:DR
First Name:YOLANDA
Middle Name:
Last Name:CASIANO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:753 CALLE CAFETAL
Mailing Address - Street 2:HACIENDAS CONSTANCIA
Mailing Address - City:HORMIGUEROS
Mailing Address - State:PR
Mailing Address - Zip Code:00660-9610
Mailing Address - Country:US
Mailing Address - Phone:787-849-2058
Mailing Address - Fax:787-849-1940
Practice Address - Street 1:1 CALLE ORIENTE
Practice Address - Street 2:
Practice Address - City:HORMIGUEROS
Practice Address - State:PR
Practice Address - Zip Code:00660
Practice Address - Country:US
Practice Address - Phone:787-849-1940
Practice Address - Fax:787-849-1940
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR22381223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice