Provider Demographics
NPI:1639796931
Name:YAMILET I TROCHE DE HOYOS
Entity Type:Organization
Organization Name:YAMILET I TROCHE DE HOYOS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YAMILET
Authorized Official - Middle Name:I
Authorized Official - Last Name:TROCHE
Authorized Official - Suffix:
Authorized Official - Credentials:MT
Authorized Official - Phone:787-252-1176
Mailing Address - Street 1:1 CALLE YAGUECA
Mailing Address - Street 2:
Mailing Address - City:RINCON
Mailing Address - State:PR
Mailing Address - Zip Code:00677-9605
Mailing Address - Country:US
Mailing Address - Phone:787-252-1176
Mailing Address - Fax:
Practice Address - Street 1:CARRETERA #2 KM 138.4 BARRIO NARANJO
Practice Address - Street 2:
Practice Address - City:AGUADA
Practice Address - State:PR
Practice Address - Zip Code:00602-0000
Practice Address - Country:US
Practice Address - Phone:787-252-1176
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-02
Last Update Date:2020-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory