Provider Demographics
NPI:1295801736
Name:YAPUR-PALEO, MATILDE (MD)
Entity type:Individual
Prefix:DR
First Name:MATILDE
Middle Name:
Last Name:YAPUR-PALEO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MATIDE
Other - Middle Name:
Other - Last Name:YAPUR-PALEO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:URB. ESTANCIAS DEL LAGO, A 42 CALLE 3
Mailing Address - Street 2:BUZON 142
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-3363
Mailing Address - Country:US
Mailing Address - Phone:787-747-9338
Mailing Address - Fax:787-241-9565
Practice Address - Street 1:TURABO MEDICAL GROUP
Practice Address - Street 2:RAFAEL CORDERO FINAL AV TROCHE
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00726
Practice Address - Country:US
Practice Address - Phone:787-745-1077
Practice Address - Fax:787-703-2725
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-27
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8613208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR1200927OtherPROVEDOR DE HUMANA