Provider Demographics
NPI:1871075879
Name:ALVARADO, YANIRA MIROSLAVA
Entity type:Individual
Prefix:
First Name:YANIRA
Middle Name:MIROSLAVA
Last Name:ALVARADO
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 1:3907 W 158TH ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44111-4272
Mailing Address - Country:US
Mailing Address - Phone:216-235-2385
Mailing Address - Fax:
Practice Address - Street 1:3907 W 158 ST.
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44111-4411
Practice Address - Country:US
Practice Address - Phone:216-235-2385
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-05
Last Update Date:2018-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
$$$$$$$$$OtherHOME CHILD CARE PROVIDER