Rivas, Yashira Marie

Rivas, Yashira Marie is an sole proprietor health care provider with primary practice located at 4160 W 12Th Ave , Hialeah FL 33012-4150. She recently has only one registered license in Agencies / Case Management, which is considered as her primary health care specialty. Rivas, Yashira Marie can be contacted via phone (305) 822-5956.

Contact Information

Primary practice address
4160 W 12Th Ave Hialeah FL 33012-4150
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X

Profile Details

NPI number 1518359553
LBN Legal business name Rivas, Yashira Marie
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2015
Last updated Feb 27th, 2015 - about 9 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 1518359553 NPPES
Florida MEDICAID 012920000

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