| Doctor Name: | YESENIA FRADERA |
| NPI Number: | 1760854996 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 5817 |
| Business Practice Address: | 38 Calle Barbosa Cabo Rojo, PR - 006234005 |
| Business Phone Number: | 9392489508 |
| Business Fax Number: | |
| Mailing Address: | 38 Calle Barbosa, CABO ROJO |
| State: | PR |
| Postal Code: | 006234005 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 10/27/2015 |
| NPI Last Update Date: | 10/27/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 183700000X |
| License Number: | 5817 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Pharmacy Service Providers |
| Taxonomy Classification: | Pharmacy Technician |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |