Provider Demographics
NPI:1700457355
Name:YRR MACRO GROUP LLC
Entity Type:Organization
Organization Name:YRR MACRO GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYD
Authorized Official - Prefix:DR
Authorized Official - First Name:YAZMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:RIOS
Authorized Official - Suffix:
Authorized Official - Credentials:DRA
Authorized Official - Phone:787-444-1120
Mailing Address - Street 1:MEDICAL CENTER PLAZA #740
Mailing Address - Street 2:AVE HOSTOS SUITE #213
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00682
Mailing Address - Country:US
Mailing Address - Phone:787-444-1120
Mailing Address - Fax:
Practice Address - Street 1:MEDICAL CENTER PLAZA #740
Practice Address - Street 2:AVE HOSTOS SUITE #202
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00682
Practice Address - Country:US
Practice Address - Phone:787-444-1120
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-06
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR005772Medicaid