Provider Demographics
NPI:1831861509
Name:ROSA, YARA MARIA (PHARMACY TECHNICIAN)
Entity type:Individual
Prefix:MRS
First Name:YARA
Middle Name:MARIA
Last Name:ROSA
Suffix:
Gender:F
Credentials:PHARMACY TECHNICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:URB PRADERA DEL RIO
Mailing Address - Street 2:249 CALLE MONTE ESCARCHA
Mailing Address - City:TOA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00953
Mailing Address - Country:US
Mailing Address - Phone:787-636-8687
Mailing Address - Fax:787-792-0831
Practice Address - Street 1:1484 AVE FD ROOSEVELT
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00920-2713
Practice Address - Country:US
Practice Address - Phone:787-783-4510
Practice Address - Fax:787-792-0831
Is Sole Proprietor?:No
Enumeration Date:2021-10-01
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1718183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician