Provider Demographics
NPI:1487938684
Name:HEVIA-JIMENEZ, YORLENIS (MD)
Entity type:Individual
Prefix:
First Name:YORLENIS
Middle Name:
Last Name:HEVIA-JIMENEZ
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:AVE.TITO CASTRO SUITE 102
Mailing Address - Street 2:PMB124
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00716
Mailing Address - Country:US
Mailing Address - Phone:787-735-8001
Mailing Address - Fax:
Practice Address - Street 1:726 AVE ESTATAL JOSE C VAZQUEZ ST
Practice Address - Street 2:URB VILA ROSALES
Practice Address - City:AIBONITO
Practice Address - State:PR
Practice Address - Zip Code:00705-0000
Practice Address - Country:US
Practice Address - Phone:787-735-8001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-06
Last Update Date:2015-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR19928207P00000X
CAA137352207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine