Gaviria, Martha

Gaviria, Martha is an individual health care provider with primary practice located at 15694 Ne 12Th Ave , North Miami Beach FL 33162-5504. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Gaviria, Martha can be contacted via phone (786) 344-0490.

Contact Information

Primary practice address
15694 Ne 12Th Ave North Miami Beach FL 33162-5504
Phone: (786) 344-0490
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1528443090
LBN Legal business name Gaviria, Martha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2015
Last updated Jul 27th, 2015 - about 10 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 1528443090 NPPES
Florida Other 474085475 MEDICAID WAIVER

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