Provider Demographics
NPI:1801455399
Name:CORTES, YARMILA B
Entity type:Individual
Prefix:
First Name:YARMILA
Middle Name:B
Last Name:CORTES
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:PLAZA LAS AMERICAS WALGREENS
Mailing Address - Street 2:AVE FD ROOSEVELT 3RD FLOOR LOCAL 609
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00901
Mailing Address - Country:US
Mailing Address - Phone:787-949-5701
Mailing Address - Fax:
Practice Address - Street 1:PLAZA LAS AMERICAS WALGREENS
Practice Address - Street 2:AVE FD ROOSEVELT 3RD FLOOR LOCAL 609
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918
Practice Address - Country:US
Practice Address - Phone:787-949-5701
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-10
Last Update Date:2019-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5139183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR005139OtherPHARMACIST LICENSE NUMBER