Provider Demographics
NPI:1902064066
Name:SOLANO MARTINEZ, YANIRA
Entity Type:Individual
Prefix:
First Name:YANIRA
Middle Name:
Last Name:SOLANO MARTINEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4960
Mailing Address - Street 2:497 PMB
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-4960
Mailing Address - Country:US
Mailing Address - Phone:787-692-4968
Mailing Address - Fax:787-961-6455
Practice Address - Street 1:CARRETERA 183
Practice Address - Street 2:BARRIO TOMAS DE CASTRO KM 4.3
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-653-7272
Practice Address - Fax:787-961-6455
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-27
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1151291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory