Provider Demographics
NPI:1609697440
Name:CUBIDES VALERO, YURI PAOLA
Entity type:Individual
Prefix:
First Name:YURI
Middle Name:PAOLA
Last Name:CUBIDES VALERO
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 1:1359 EDGEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:EMERALD HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:94062-2730
Mailing Address - Country:US
Mailing Address - Phone:707-710-0266
Mailing Address - Fax:
Practice Address - Street 1:1650 S AMPHLETT BLVD
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94402-2517
Practice Address - Country:US
Practice Address - Phone:650-581-1542
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-23
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator