Riera, Lisette D
Riera, Lisette D is an sole proprietor health care provider with primary practice located at 15192 Sw 137Th St Ste 13 , Miami FL 33196-5786. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Riera, Lisette D can be contacted via phone (786) 529-8378.Contact Information
Primary practice address
15192 Sw 137Th St Ste 13
Miami FL 33196-5786
Phone: (786) 529-8378
Fax: (786) 400-2134
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | SS1246 | Florida |
Profile Details
| NPI number | 1659826659 |
|---|---|
| LBN Legal business name | Riera, Lisette D |
| Credentials | PSY. S., |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 18th, 2016 |
| Last updated | Apr 2nd, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659826659 | NPPES |
| Florida | Other | 13878294 | CAQH |
| Florida | MEDICAID | 018914800 | CAQH |
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