Yanpol Olivo Perez
Individual provider Active NPI Pharmacist · San Juan, PR
NPI 1043087315 · NPPES record last updated Dec 7, 2023
Key facts
- NPI
- 1043087315
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 008161 (PR)
- Practice address
- 1100 Avenida Manuel Fernandez Juncos
San Juan, PR 00907 - Phone
- (787) 721-9154
- NPI assigned
- Dec 7, 2023
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008161 | PR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Farmacia Cuquimar, Inc. | Current | Accepting new patients | |
| Expresscare Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 008161 | PR | Yes |
Addresses
Primary practice location
1100 Avenida Manuel Fernandez Juncos
San Juan, PR 00907
Mailing address
1900 Calle Diego Morguey
San Juan, PR 00926-7741
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.