Tavarez, Minerva A

Tavarez, Minerva A is an individual health care provider with primary practice located at 380 Encinal St Ste 200 , Santa Cruz CA 95060-2178. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Tavarez, Minerva A can be contacted via phone (831) 469-1700.

Contact Information

Primary practice address
380 Encinal St Ste 200 Santa Cruz CA 95060-2178
Phone: (831) 469-1700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1740406479
LBN Legal business name Tavarez, Minerva A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2007
Last updated May 23rd, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740406479 NPPES
California Other ZZZ92069Z SANTA CRUZ COUNTY MEDICARE GROUP PTAN#

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