Provider Demographics
NPI:1710969274
Name:YAPOR, ALFREDO (PHARMACIST)
Entity Type:Individual
Prefix:MR
First Name:ALFREDO
Middle Name:
Last Name:YAPOR
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:D5 CALLE EBANO
Mailing Address - Street 2:APT. 207
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00968-3429
Mailing Address - Country:US
Mailing Address - Phone:787-783-8113
Mailing Address - Fax:787-756-8872
Practice Address - Street 1:D5 CALLE EBANO
Practice Address - Street 2:APT. 207
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00968-3429
Practice Address - Country:US
Practice Address - Phone:787-783-8113
Practice Address - Fax:787-756-8872
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1995183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist