Provider Demographics
NPI:1821181140
Name:MENDEZ-PIETRI, YANILA (MD)
Entity Type:Individual
Prefix:DR
First Name:YANILA
Middle Name:
Last Name:MENDEZ-PIETRI
Suffix:
Gender:F
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 2363
Mailing Address - Street 2:
Mailing Address - City:ISABELA
Mailing Address - State:PR
Mailing Address - Zip Code:00662-2004
Mailing Address - Country:US
Mailing Address - Phone:787-546-2516
Mailing Address - Fax:
Practice Address - Street 1:99 CALLE EMILIO GONZALEZ
Practice Address - Street 2:INTERIOR
Practice Address - City:ISABELA
Practice Address - State:PR
Practice Address - Zip Code:00662-2657
Practice Address - Country:US
Practice Address - Phone:787-546-2516
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16570208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice