Provider Demographics
NPI:1164795985
Name:GARCIA SEGARRA, YAMIR
Entity type:Individual
Prefix:
First Name:YAMIR
Middle Name:
Last Name:GARCIA SEGARRA
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:CALLE CAPUCHINO BORINQUEN VALLEY 2
Mailing Address - Street 2:NUM 382
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-9580
Mailing Address - Country:US
Mailing Address - Phone:787-513-8492
Mailing Address - Fax:
Practice Address - Street 1:30 CALLE PADIAL STE 206
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-3841
Practice Address - Country:US
Practice Address - Phone:787-513-8492
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-10
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR822235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist