Provider Demographics
NPI:1780258459
Name:TIRADO, YANIRA MARIE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:YANIRA
Middle Name:MARIE
Last Name:TIRADO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 44 BOX 13539
Mailing Address - Street 2:
Mailing Address - City:CAYEY
Mailing Address - State:PR
Mailing Address - Zip Code:00736-9766
Mailing Address - Country:US
Mailing Address - Phone:787-421-1619
Mailing Address - Fax:
Practice Address - Street 1:URB TURABO GARDENS
Practice Address - Street 2:CARR 172 CAGUAS A CIDRA
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00726
Practice Address - Country:US
Practice Address - Phone:787-653-0550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-18
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6811183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist