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
- 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 |
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.