Provider Demographics
NPI:1598549990
Name:SANTACOLOMA, YENIFFER (PHARMD)
Entity Type:Individual
Prefix:
First Name:YENIFFER
Middle Name:
Last Name:SANTACOLOMA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:YENIFFER
Other - Middle Name:
Other - Last Name:NUNEZ MUNOZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:275 E 6TH ST APT 8
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010-4816
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2481 DEL PRADO BLVD N
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33909-4002
Practice Address - Country:US
Practice Address - Phone:239-573-1832
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-24
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS66251183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist