Provider Demographics
NPI:1427468727
Name:RICO, SABRHINA (BSW)
Entity type:Individual
Prefix:
First Name:SABRHINA
Middle Name:
Last Name:RICO
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15370 SW 104TH TER APT 4
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196-4562
Mailing Address - Country:US
Mailing Address - Phone:786-712-2984
Mailing Address - Fax:
Practice Address - Street 1:15370 SW 104TH TER APT 4
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33196-4562
Practice Address - Country:US
Practice Address - Phone:786-712-2984
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-07
Last Update Date:2014-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker