Provider Demographics
NPI:1982442125
Name:RIZO HERNANDEZ, IRMA
Entity type:Individual
Prefix:
First Name:IRMA
Middle Name:
Last Name:RIZO HERNANDEZ
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 1:19400 SW 118TH AVE # MIAMI
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177-4420
Mailing Address - Country:US
Mailing Address - Phone:786-794-6721
Mailing Address - Fax:
Practice Address - Street 1:19400 SW 118TH AVE # MIAMI
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33177-4420
Practice Address - Country:US
Practice Address - Phone:786-794-6721
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-19
Last Update Date:2024-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician