Provider Demographics
NPI:1982117586
Name:RUIDIAZ, YANIRA EMILIA (MSW)
Entity Type:Individual
Prefix:MRS
First Name:YANIRA
Middle Name:EMILIA
Last Name:RUIDIAZ
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:458 SW 90TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-2342
Mailing Address - Country:US
Mailing Address - Phone:305-333-5230
Mailing Address - Fax:
Practice Address - Street 1:12314 SW 127TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-6579
Practice Address - Country:US
Practice Address - Phone:305-333-5230
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-06
Last Update Date:2017-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker