Provider Demographics
NPI:1780250001
Name:CARRION, YINA ISABEL (DMD)
Entity type:Individual
Prefix:
First Name:YINA
Middle Name:ISABEL
Last Name:CARRION
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 AVE SAN PATRICIO APT 205
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00968-4511
Mailing Address - Country:US
Mailing Address - Phone:787-233-7508
Mailing Address - Fax:
Practice Address - Street 1:PLAZA REAL SHOPPING CENTER
Practice Address - Street 2:SUITE 105
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969
Practice Address - Country:US
Practice Address - Phone:787-400-9714
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-27
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR34021223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics