Active NPI
Yiranyellie Pacheco Otero
- Student in an Organized Health Care Education/Training Program
- San Juan, PR
National Provider Identifier
1497555668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 2853
- Practice address
- 150 Calle F Vizcarrondo
San Juan, PR 00926-4483 - Phone
- (787) 755-1375
- Fax
- (787) 755-1375
- NPI assigned
- Mar 17, 2025
- Last updated
- Mar 17, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 2853 | PR | Primary |
Addresses
Primary practice location
150 Calle F Vizcarrondo
San Juan, PR 00926-4483
Mailing address
417 Calle Padre Rivera
Vega Alta, PR 00692-5834
Phone (787) 610-5704
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2853 | PR | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742169600000",
"number": "1497555668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 CALLE PADRE RIVERA",
"city": "VEGA ALTA",
"state": "PR",
"postal_code": "006925834",
"telephone_number": "787-610-5704",
"fax_number": "787-610-5704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 CALLE F VIZCARRONDO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009264483",
"telephone_number": "787-755-1375",
"fax_number": "787-755-1375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACHECO OTERO",
"first_name": "YIRANYELLIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-17",
"last_updated": "2025-03-17",
"certification_date": "2025-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PR",
"license": "2853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
- Alexander Pacheco Camacho, MD
- Pedro Luis Pacheco Cintron, MD
- Amanda Ivette Pacheco Lebron
- Yesenia Mercedes Pacheco Llanos, LICENCIADA
- Andriselle Pacheco Lopez
- Larissa Margarita Pacheco Ramos
- Marilyz Pacheco Rodriguez, PHARMD
- Yashaira M Pacheco Rodriguez, PHL
- Jose Antonio Pacheco Suarez, M.D.
- Melanie Pacheco Torres, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.