Provider Demographics
NPI:1083468995
Name:PITA NORIEGA, YASEL
Entity Type:Individual
Prefix:
First Name:YASEL
Middle Name:
Last Name:PITA NORIEGA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3362 E 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33013-3039
Mailing Address - Country:US
Mailing Address - Phone:786-537-3131
Mailing Address - Fax:
Practice Address - Street 1:3362 E 6TH AVE
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33013-3039
Practice Address - Country:US
Practice Address - Phone:786-537-3131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-16
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor