Provider Demographics
NPI:1104688472
Name:PEYRAMALE, YRENE
Entity type:Individual
Prefix:
First Name:YRENE
Middle Name:
Last Name:PEYRAMALE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:YRENE
Other - Middle Name:
Other - Last Name:BERROCAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7703 FLOYD CURL DR # 7906
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3901
Mailing Address - Country:US
Mailing Address - Phone:210-567-1412
Mailing Address - Fax:
Practice Address - Street 1:7703 FLOYD CURL DR # 7906
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3901
Practice Address - Country:US
Practice Address - Phone:210-567-1412
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-23
Last Update Date:2024-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program