Provider Demographics
NPI:1881834943
Name:FERRER, YARASHIELD (MA)
Entity Type:Individual
Prefix:MRS
First Name:YARASHIELD
Middle Name:
Last Name:FERRER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CALLE DE DIEGO # 33
Mailing Address - Street 2:EDIF. CARLOS N. ORTIZ OFIC. 2-A
Mailing Address - City:CABO ROJO
Mailing Address - State:PR
Mailing Address - Zip Code:00623
Mailing Address - Country:US
Mailing Address - Phone:787-447-0720
Mailing Address - Fax:
Practice Address - Street 1:33 CALLE DE DIEGO
Practice Address - Street 2:EDIF. CARLOS N. ORTIZ OFIC. 2-A
Practice Address - City:CABO ROJO
Practice Address - State:PR
Practice Address - Zip Code:00623-3533
Practice Address - Country:US
Practice Address - Phone:787-447-0720
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-03
Last Update Date:2009-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3103103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR2006Medicare PIN