1982169413 NPI number — DR. KIANYS YARY SANCHEZ RUIZ PHARMD

Table of content: DR. KIANYS YARY SANCHEZ RUIZ PHARMD (NPI 1982169413)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982169413 NPI number — DR. KIANYS YARY SANCHEZ RUIZ PHARMD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SANCHEZ RUIZ
Provider First Name:
KIANYS
Provider Middle Name:
YARY
Provider Name Prefix Text:
DR.
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:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1982169413
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/30/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 807
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CIALES
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00638-0807
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-638-2216
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CARR891 KM151 BO PUEBLO
Provider Second Line Business Practice Location Address:
CENTRO DE SALUD INTEGRAL
Provider Business Practice Location Address City Name:
COROZAL
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00783
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-859-2560
Provider Business Practice Location Address Fax Number:
787-859-3095
Provider Enumeration Date:
02/08/2019

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:  00633 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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