Provider Demographics
NPI:1417036658
Name:VARELA, YAMILLE GISELA (RPH)
Entity type:Individual
Prefix:MRS
First Name:YAMILLE
Middle Name:GISELA
Last Name:VARELA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 59 BOX 5517
Mailing Address - Street 2:
Mailing Address - City:AGUADA
Mailing Address - State:PR
Mailing Address - Zip Code:00602-9692
Mailing Address - Country:US
Mailing Address - Phone:787-517-0100
Mailing Address - Fax:787-609-6190
Practice Address - Street 1:CARR 472 KM 2.3
Practice Address - Street 2:AVE LULIO SAAVEDRA
Practice Address - City:ISABELA
Practice Address - State:PR
Practice Address - Zip Code:00661
Practice Address - Country:US
Practice Address - Phone:787-826-2390
Practice Address - Fax:787-826-7991
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4828183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR4828OtherPHARMACIST LICENSE