Provider Demographics
NPI:1417668591
Name:CUEVAS TORRES, YARITZA NAIRE (SLPA)
Entity Type:Individual
Prefix:
First Name:YARITZA
Middle Name:NAIRE
Last Name:CUEVAS TORRES
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3217
Mailing Address - Street 2:
Mailing Address - City:CLEWISTON
Mailing Address - State:FL
Mailing Address - Zip Code:33440-7217
Mailing Address - Country:US
Mailing Address - Phone:787-407-0349
Mailing Address - Fax:
Practice Address - Street 1:201 SAN LUIZ AVE
Practice Address - Street 2:
Practice Address - City:CLEWISTON
Practice Address - State:FL
Practice Address - Zip Code:33440-3305
Practice Address - Country:US
Practice Address - Phone:787-407-0349
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-08
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSI37192355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant