Provider Demographics
NPI:1033479860
Name:SANCHEZ-RIVERO, YULIET (MD)
Entity Type:Individual
Prefix:
First Name:YULIET
Middle Name:
Last Name:SANCHEZ-RIVERO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:149 HERON LANDING RD
Mailing Address - Street 2:
Mailing Address - City:ST JOHNS
Mailing Address - State:FL
Mailing Address - Zip Code:32259-7022
Mailing Address - Country:US
Mailing Address - Phone:352-226-3275
Mailing Address - Fax:
Practice Address - Street 1:1538 THE GREENS WAY STE 101
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE BEACH
Practice Address - State:FL
Practice Address - Zip Code:32250-1400
Practice Address - Country:US
Practice Address - Phone:352-226-3275
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-27
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL175512084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry