De Leon, Raiza

De Leon, Raiza is an individual health care provider with primary practice located at 4920 E 4Th Ave , Hialeah FL 33013-1509. She recently has only one registered license in Pharmacy Service Providers / Pharmacotherapy, which is considered as her primary health care specialty. De Leon, Raiza can be contacted via phone (305) 364-8858.

Contact Information

Primary practice address
4920 E 4Th Ave Hialeah FL 33013-1509
Phone: (305) 364-8858
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacotherapy 1835P1200X PH27197 Florida

Profile Details

NPI number 1184053530
LBN Legal business name De Leon, Raiza
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2013
Last updated Nov 6th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184053530 NPPES
Florida Other PH27197 BOARD OF PHARMACY

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