Provider Demographics
NPI:1568639482
Name:PELET GIRAUD, YAIRAMARIS (MD)
Entity Type:Individual
Prefix:
First Name:YAIRAMARIS
Middle Name:
Last Name:PELET GIRAUD
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:URB SABANERA
Mailing Address - Street 2:369 CAMINO DE LAS POMARROSAS
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646
Mailing Address - Country:US
Mailing Address - Phone:787-381-7691
Mailing Address - Fax:
Practice Address - Street 1:HF16 LIZZIE GRANHAM
Practice Address - Street 2:7MA SECC
Practice Address - City:TOA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00949
Practice Address - Country:US
Practice Address - Phone:787-795-2935
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-09
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17011208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice