Provider Demographics
NPI:1154079739
Name:RIVERO CABRERA, ZURY
Entity Type:Individual
Prefix:
First Name:ZURY
Middle Name:
Last Name:RIVERO CABRERA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10511 SW 108TH AVE APT 194
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-8192
Mailing Address - Country:US
Mailing Address - Phone:786-970-2409
Mailing Address - Fax:
Practice Address - Street 1:10511 SW 108TH AVE APT 194
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-8192
Practice Address - Country:US
Practice Address - Phone:786-970-2409
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-14
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-15-00506106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician