Provider Demographics
NPI:1013691211
Name:OJEDA, YASMIN VANESSA (MD)
Entity Type:Individual
Prefix:
First Name:YASMIN
Middle Name:VANESSA
Last Name:OJEDA
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 1:410 SOLDADO LIBRAN ST. , URB. SAN AGUSTIN
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00923
Mailing Address - Country:US
Mailing Address - Phone:787-536-1619
Mailing Address - Fax:
Practice Address - Street 1:AUXILIO MUTUO HOSPITAL OF PUERTO RICO
Practice Address - Street 2:PONCE DE LEON AV. STOP 37 AND 1/2
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00919
Practice Address - Country:US
Practice Address - Phone:787-758-2000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-09
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical