Tavarez, Minerva A
Tavarez, Minerva A is an individual health care provider with primary practice located at 380 Encinal St Ste 200 , Santa Cruz CA 95060-2178. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Tavarez, Minerva A can be contacted via phone (831) 469-1700.Contact Information
Primary practice address
380 Encinal St Ste 200
Santa Cruz CA 95060-2178
Phone: (831) 469-1700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1740406479 |
|---|---|
| LBN Legal business name | Tavarez, Minerva A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2007 |
| Last updated | May 23rd, 2023 - about last year |
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 | 1740406479 | NPPES |
| California | Other | ZZZ92069Z | SANTA CRUZ COUNTY MEDICARE GROUP PTAN# |
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