Provider Demographics
NPI:1578080487
Name:CASAS LEIVA, YURINA CARIDAD
Entity Type:Individual
Prefix:
First Name:YURINA
Middle Name:CARIDAD
Last Name:CASAS LEIVA
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 1:8350 NW 8 ST
Mailing Address - Street 2:UNIT 10
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-3911
Mailing Address - Country:US
Mailing Address - Phone:305-699-7303
Mailing Address - Fax:
Practice Address - Street 1:8350 NW 8TH ST APT 10
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-3911
Practice Address - Country:US
Practice Address - Phone:305-699-7303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No253Z00000XAgenciesIn Home Supportive Care
No374U00000XNursing Service Related ProvidersHome Health Aide