Provider Demographics
NPI:1639463540
Name:SERRANO CINTRON, YAZMIN (RPH)
Entity Type:Individual
Prefix:
First Name:YAZMIN
Middle Name:
Last Name:SERRANO CINTRON
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PR 18 ALTOS DE LA FUENTE
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725
Mailing Address - Country:US
Mailing Address - Phone:787-286-8242
Mailing Address - Fax:787-286-8249
Practice Address - Street 1:50 CALLE LUNA
Practice Address - Street 2:URB. PORTAL DEL SOL
Practice Address - City:SAN LORENZO
Practice Address - State:PR
Practice Address - Zip Code:00754
Practice Address - Country:US
Practice Address - Phone:787-286-8242
Practice Address - Fax:787-286-8249
Is Sole Proprietor?:No
Enumeration Date:2011-06-08
Last Update Date:2011-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4718183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist