Provider Demographics
NPI:1871253443
Name:QUINONES AVILES, YAMILEX (PHARMD)
Entity Type:Individual
Prefix:
First Name:YAMILEX
Middle Name:
Last Name:QUINONES AVILES
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CARR 119 KM 29.0 BO HOYAMALA
Mailing Address - Street 2:
Mailing Address - City:SAN SEBASTIAN
Mailing Address - State:PR
Mailing Address - Zip Code:00685-7004
Mailing Address - Country:US
Mailing Address - Phone:787-896-4650
Mailing Address - Fax:
Practice Address - Street 1:CARR 119 KM 29.0 BO HOYAMALA
Practice Address - Street 2:
Practice Address - City:SAN SEBASTIAN
Practice Address - State:PR
Practice Address - Zip Code:00685
Practice Address - Country:US
Practice Address - Phone:787-896-4650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-23
Last Update Date:2021-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6980183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist