Healthcare Provider Details

I. General information

NPI: 1033405451
Provider Name (Legal Business Name): ORLIDIA CHIRINO LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2011
Last Update Date: 08/05/2025
Certification Date: 08/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6910 W 12TH CT
HIALEAH FL
33014-4505
US

IV. Provider business mailing address

6910 W 12TH CT
HIALEAH FL
33014-4505
US

V. Phone/Fax

Practice location:
  • Phone: 786-230-4250
  • Fax:
Mailing address:
  • Phone: 786-230-4250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberPTA26600
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA45855
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: