Provider Demographics
NPI:1710299565
Name:RAMIREZ CERVANTES, YULIETTE (BS)
Entity Type:Individual
Prefix:MRS
First Name:YULIETTE
Middle Name:
Last Name:RAMIREZ CERVANTES
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14219 SW 97TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-1155
Mailing Address - Country:US
Mailing Address - Phone:305-909-0804
Mailing Address - Fax:305-909-0804
Practice Address - Street 1:3850 W FLAGLER ST
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-1604
Practice Address - Country:US
Practice Address - Phone:305-406-9585
Practice Address - Fax:305-406-9478
Is Sole Proprietor?:No
Enumeration Date:2010-07-09
Last Update Date:2018-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL022905200Medicaid