Yazmin Cordero Cruz

Individual provider Active NPI Physician Assistant · Salinas, PR

NPI 1003773144 · NPPES record last updated Jan 9, 2026

Key facts

NPI
1003773144
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
1349 (PR)
Practice address
B-3, Calle 8
Urb Las Marias
Salinas, PR 00751-2403
Phone
(787) 674-3487
NPI assigned
Jan 9, 2026
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1349PRMDNutrition Education Nutritionist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1349 PR Yes

Addresses

Primary practice location

B-3, Calle 8
Urb Las Marias
Salinas, PR 00751-2403

Mailing address

2FQ3/73M, Calle Acerola
Coto Laure, Ponce, PR 00780
Phone (787) 848-2100

Other providers in Salinas, PR

All providers in Salinas, PR · Physician Assistant in Puerto Rico

Sources for this page

Verify at the official NPI Registry.