1932979846 NPI number — BARBARITA DAYAMI CHIRINO RIVERO

Table of content: BARBARITA DAYAMI CHIRINO RIVERO (NPI 1932979846)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932979846 NPI number — BARBARITA DAYAMI CHIRINO RIVERO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CHIRINO RIVERO
Provider First Name:
BARBARITA
Provider Middle Name:
DAYAMI
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1932979846
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/03/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10200NW 25TH ST
Provider Second Line Business Mailing Address:
SUITE 114
Provider Business Mailing Address City Name:
DORAL
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33172
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-351-2999
Provider Business Mailing Address Fax Number:
305-351-1798

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10200NW 25TH ST
Provider Second Line Business Practice Location Address:
SUITE 114
Provider Business Practice Location Address City Name:
DORAL
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33172
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-351-2999
Provider Business Practice Location Address Fax Number:
305-351-1798
Provider Enumeration Date:
01/03/2024

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106S00000X , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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