Doctor Name: | YESMIN FADUL PAULINO |
NPI Number: | 1104810373 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 15138 |
Business Practice Address: | 73 Calle Santa Cruz Santa Cruz Medical Bldg Ste 409 Bayamon, PR - 009616910 |
Business Phone Number: | 7877781567 |
Business Fax Number: | 7877781567 |
Mailing Address: | 471 Via Marbella, Urb Paseo Del Mar DORADO |
State: | PR |
Postal Code: | 006464646 |
Phone Number: | 7872617659 |
Fax Number: | 7877781567 |
NPI Enumeration Date: | 09/02/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 15138 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |