Provider Demographics
NPI:1720445729
Name:CHERIZA, RALPH
Entity Type:Individual
Prefix:MR
First Name:RALPH
Middle Name:
Last Name:CHERIZA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7001
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33466-7001
Mailing Address - Country:US
Mailing Address - Phone:561-252-3735
Mailing Address - Fax:561-619-4357
Practice Address - Street 1:6162 SHERWOOD GLEN WAY APT 3
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33415-6981
Practice Address - Country:US
Practice Address - Phone:561-252-3735
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-21
Last Update Date:2019-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No171M00000XOther Service ProvidersCase Manager/Care Coordinator