Provider Demographics
NPI:1679691851
Name:BORRI LAJARA, YANIXIA V (OD)
Entity type:Individual
Prefix:DR
First Name:YANIXIA
Middle Name:V
Last Name:BORRI LAJARA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:YANIXIA
Other - Middle Name:V
Other - Last Name:BORRI LAJARA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:9-17 CALLE MALAGA
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966-3131
Mailing Address - Country:US
Mailing Address - Phone:787-396-4926
Mailing Address - Fax:
Practice Address - Street 1:9-17 CALLE MALAGA
Practice Address - Street 2:
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00966-3131
Practice Address - Country:US
Practice Address - Phone:787-396-4926
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR00218152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist