Provider Demographics
NPI:1710862719
Name:MARRERO VELAZQUEZ, YARITZA H
Entity type:Individual
Prefix:MRS
First Name:YARITZA
Middle Name:H
Last Name:MARRERO VELAZQUEZ
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:HC 3 BOX 10682
Mailing Address - Street 2:
Mailing Address - City:COMERIO
Mailing Address - State:PR
Mailing Address - Zip Code:00782-9604
Mailing Address - Country:US
Mailing Address - Phone:787-672-1079
Mailing Address - Fax:
Practice Address - Street 1:HC 3 BOX 10682
Practice Address - Street 2:
Practice Address - City:COMERIO
Practice Address - State:PR
Practice Address - Zip Code:00782-9604
Practice Address - Country:US
Practice Address - Phone:787-672-1079
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-08
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR82345163W00000X
PR5814163WX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WX0200XNursing Service ProvidersRegistered NurseOncology