| Doctor Name: | DR. YAMIL J LARA |
| NPI Number: | 1013148659 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 3247 |
| Business Practice Address: | 30 Calle Padial Plaza Gatsby Suite #210 Caguas, PR - 007253807 |
| Business Phone Number: | 7876537246 |
| Business Fax Number: | |
| Mailing Address: | 76 Paraiso De Gurabo, GURABO |
| State: | PR |
| Postal Code: | 007783749 |
| Phone Number: | 7873601487 |
| Fax Number: | |
| NPI Enumeration Date: | 07/30/2009 |
| NPI Last Update Date: | 07/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | 3247 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |