Provider Demographics
NPI:1881482495
Name:DEL TORO PEREZ, YARISLEIDYS
Entity type:Individual
Prefix:
First Name:YARISLEIDYS
Middle Name:
Last Name:DEL TORO PEREZ
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4514 S MANHATTAN AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33611-2307
Mailing Address - Country:US
Mailing Address - Phone:813-640-8472
Mailing Address - Fax:
Practice Address - Street 1:4514 S MANHATTAN AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33611-2307
Practice Address - Country:US
Practice Address - Phone:813-640-8472
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-25
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician