Provider Demographics
NPI:1477791408
Name:SOCARRAS, YAREMI A (PRESIDENT)
Entity Type:Individual
Prefix:
First Name:YAREMI
Middle Name:A
Last Name:SOCARRAS
Suffix:
Gender:F
Credentials:PRESIDENT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1275 W 47TH PL STE 420
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-3452
Mailing Address - Country:US
Mailing Address - Phone:786-360-3128
Mailing Address - Fax:786-360-3129
Practice Address - Street 1:1275 W 47TH PL STE 420
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-3452
Practice Address - Country:US
Practice Address - Phone:786-360-3128
Practice Address - Fax:786-360-3129
Is Sole Proprietor?:No
Enumeration Date:2009-01-29
Last Update Date:2009-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7931111N00000X
FLCH4947111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor