1255252235 NPI number — YARIELIZ FELICIANO VAZQUEZ PHARMD

Table of content: STELLA KWOFIE PA (NPI 1093001638)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1255252235 NPI number — YARIELIZ FELICIANO VAZQUEZ PHARMD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FELICIANO VAZQUEZ
Provider First Name:
YARIELIZ
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PHARMD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
VAZQUEZ
Provider Other First Name:
YARIELIZ
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
PHARMD
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1255252235
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/27/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
HC 5 BOX 7722
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
YAUCO
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00698-9731
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-402-2514
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
100 BUSINESS CENTER DR STE 300
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15205-1327
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
888-412-9325
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/23/2026

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  PI124835 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)