Provider Demographics
NPI:1255538336
Name:OSORIO, YMA (MD)
Entity type:Individual
Prefix:DR
First Name:YMA
Middle Name:
Last Name:OSORIO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:YMA
Other - Middle Name:
Other - Last Name:OSORIO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:CALLE GEN VALERO
Mailing Address - Street 2:SUITE 207
Mailing Address - City:FAJARDO
Mailing Address - State:PR
Mailing Address - Zip Code:00738-3949
Mailing Address - Country:US
Mailing Address - Phone:787-365-8362
Mailing Address - Fax:
Practice Address - Street 1:CALLE GEN VALERO
Practice Address - Street 2:SUITE 207
Practice Address - City:FAJARDO
Practice Address - State:PR
Practice Address - Zip Code:00738-3949
Practice Address - Country:US
Practice Address - Phone:787-365-8362
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-02
Last Update Date:2011-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17212207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology