Provider Demographics
NPI:1427660232
Name:ALVAREZ CARDERO, YAIMA (CBHCMS)
Entity type:Individual
Prefix:
First Name:YAIMA
Middle Name:
Last Name:ALVAREZ CARDERO
Suffix:
Gender:F
Credentials:CBHCMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1780 SW 139TH PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-7071
Mailing Address - Country:US
Mailing Address - Phone:786-619-5639
Mailing Address - Fax:954-807-8957
Practice Address - Street 1:11401 SW 40TH ST STE 345
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-3372
Practice Address - Country:US
Practice Address - Phone:305-603-7063
Practice Address - Fax:305-603-8705
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-21
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL107763300Medicaid