Provider Demographics
NPI:1659348720
Name:QUIJANO, YAZMIN
Entity Type:Individual
Prefix:MRS
First Name:YAZMIN
Middle Name:
Last Name:QUIJANO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 140699
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00614-0699
Mailing Address - Country:US
Mailing Address - Phone:787-880-3184
Mailing Address - Fax:787-878-5231
Practice Address - Street 1:URB. SAN LORENZO CALLE PEDRO MORA #40
Practice Address - Street 2:SUITE 3
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612-0699
Practice Address - Country:US
Practice Address - Phone:787-880-3184
Practice Address - Fax:787-878-5231
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR804170100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170100000XOther Service ProvidersMedical Genetics, Ph.D. Medical Genetics