Provider Demographics
NPI:1962790543
Name:GINARTE, RAIZA
Entity type:Individual
Prefix:
First Name:RAIZA
Middle Name:
Last Name:GINARTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 SW 40TH AVE
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-1744
Mailing Address - Country:US
Mailing Address - Phone:786-991-6974
Mailing Address - Fax:
Practice Address - Street 1:111 SW 40TH AVE
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-1744
Practice Address - Country:US
Practice Address - Phone:786-991-6974
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-15
Last Update Date:2011-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator