Provider Demographics
NPI:1841490018
Name:MASSARI-PEREZ, YADIRA (RPH)
Entity type:Individual
Prefix:MS
First Name:YADIRA
Middle Name:
Last Name:MASSARI-PEREZ
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:YADIRA
Other - Middle Name:
Other - Last Name:TORO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:M8 CALLE AZAHAR
Mailing Address - Street 2:TERRAZAS DE GUAYNABO
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-5407
Mailing Address - Country:US
Mailing Address - Phone:787-287-2807
Mailing Address - Fax:
Practice Address - Street 1:431 AVE PONCE DE LEON
Practice Address - Street 2:
Practice Address - City:HATO REY
Practice Address - State:PR
Practice Address - Zip Code:00917-3418
Practice Address - Country:US
Practice Address - Phone:787-764-9728
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-24
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR004672183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist