Provider Demographics
NPI:1295990489
Name:OQUENDO-OCASIO, YIAMIRA SONALIS (MD)
Entity type:Individual
Prefix:
First Name:YIAMIRA
Middle Name:SONALIS
Last Name:OQUENDO-OCASIO
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:P17 LUZ OESTE
Mailing Address - Street 2:LEVITTOWN LAKES
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00949-4959
Mailing Address - Country:US
Mailing Address - Phone:787-585-3316
Mailing Address - Fax:
Practice Address - Street 1:UPR MEDICAL SCIENCES CAMPUS
Practice Address - Street 2:SUITE 209
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00936-0936
Practice Address - Country:US
Practice Address - Phone:787-756-4020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-28
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18121208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics