Matta, Yanializ
Matta, Yanializ is an sole proprietor health care provider with primary practice located at C/ 15 Bloq P# 828 Urb. Alturas De Rio Grande , Rio Grande PR 00745. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Matta, Yanializ can be contacted via phone (787) 226-4667.Contact Information
Primary practice address
C/ 15 Bloq P# 828 Urb. Alturas De Rio Grande
Rio Grande PR 00745
Phone: (787) 226-4667
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 13447 | Puerto Rico |
Profile Details
| NPI number | 1487287348 |
|---|---|
| LBN Legal business name | Matta, Yanializ |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 19th, 2020 |
| Last updated | Feb 19th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487287348 | NPPES |
| Puerto Rico | MEDICAID | 134471717 |
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