Provider Demographics
NPI:1568046357
Name:EXPOSITO, RAYSA DE LA CARIDAD
Entity Type:Individual
Prefix:
First Name:RAYSA DE LA
Middle Name:CARIDAD
Last Name:EXPOSITO
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 1:14358 SW 25TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-7086
Mailing Address - Country:US
Mailing Address - Phone:786-800-7781
Mailing Address - Fax:
Practice Address - Street 1:14358 SW 25TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-7086
Practice Address - Country:US
Practice Address - Phone:786-800-7781
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-08
Last Update Date:2021-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician