Provider Demographics
NPI:1720228836
Name:GARCIA-AMADOR, YUSSEL C (MD)
Entity Type:Individual
Prefix:DR
First Name:YUSSEL
Middle Name:C
Last Name:GARCIA-AMADOR
Suffix:
Gender:M
Credentials:MD
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 181
Mailing Address - Street 2:
Mailing Address - City:CAMUY
Mailing Address - State:PR
Mailing Address - Zip Code:00627-0181
Mailing Address - Country:US
Mailing Address - Phone:787-647-0889
Mailing Address - Fax:
Practice Address - Street 1:CALLE HERNAN ALVAREZ #100
Practice Address - Street 2:EDIF. PLAZA METROPOLITANA SUITE 202
Practice Address - City:SAN GERMAN
Practice Address - State:PR
Practice Address - Zip Code:00683
Practice Address - Country:US
Practice Address - Phone:787-647-0889
Practice Address - Fax:787-264-7174
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-02
Last Update Date:2010-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17494207R00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice