Provider Demographics
NPI:1891878930
Name:BELTRAN, YAHAIRA (RPH)
Entity Type:Individual
Prefix:
First Name:YAHAIRA
Middle Name:
Last Name:BELTRAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC-01 BOX 6347
Mailing Address - Street 2:
Mailing Address - City:MOCA
Mailing Address - State:PR
Mailing Address - Zip Code:00676-5055
Mailing Address - Country:US
Mailing Address - Phone:787-826-3190
Mailing Address - Fax:
Practice Address - Street 1:CARR 402 KM 6.0
Practice Address - Street 2:
Practice Address - City:ANASCO
Practice Address - State:PR
Practice Address - Zip Code:00610-3000
Practice Address - Country:US
Practice Address - Phone:787-826-3190
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4986183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist