Provider Demographics
NPI:1487193041
Name:FUENTES PEREZ, YESENIA LYMARIS (MD)
Entity type:Individual
Prefix:
First Name:YESENIA
Middle Name:LYMARIS
Last Name:FUENTES PEREZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340 CALLE ASHLEY
Mailing Address - Street 2:
Mailing Address - City:VEGA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00693-5878
Mailing Address - Country:US
Mailing Address - Phone:787-221-7183
Mailing Address - Fax:
Practice Address - Street 1:340 CALLE ASHLEY
Practice Address - Street 2:URB. VEGA SERENA
Practice Address - City:VEGA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00693-5878
Practice Address - Country:US
Practice Address - Phone:787-621-3700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-15
Last Update Date:2025-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14343-I390200000X
PR23784207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program