Provider Demographics
NPI:1205564929
Name:RIVAS, YARITZA D
Entity type:Individual
Prefix:MRS
First Name:YARITZA
Middle Name:D
Last Name:RIVAS
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 1:9110 MOUNT HOUSTON RD TRLR 11
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77050-6013
Mailing Address - Country:US
Mailing Address - Phone:713-836-2878
Mailing Address - Fax:
Practice Address - Street 1:9110 MOUNT HOUSTON RD TRLR 11
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77050-6013
Practice Address - Country:US
Practice Address - Phone:713-836-2878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-10
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)