Provider Demographics
NPI:1598413791
Name:CONDE, YAHAIRA L
Entity type:Individual
Prefix:
First Name:YAHAIRA
Middle Name:L
Last Name:CONDE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 CALLE D
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00965-5218
Mailing Address - Country:US
Mailing Address - Phone:939-310-0839
Mailing Address - Fax:
Practice Address - Street 1:15 CALLE D
Practice Address - Street 2:
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00965-5218
Practice Address - Country:US
Practice Address - Phone:939-310-0839
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-16
Last Update Date:2025-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR374U00000X, 172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty
No172V00000XOther Service ProvidersCommunity Health Worker