Healthcare Provider Details

I. General information

NPI: 1700584729
Provider Name (Legal Business Name): CIOGNAY PIRE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2023
Last Update Date: 02/28/2023
Certification Date: 02/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27355 SW 135TH AVENUE RD
HOMESTEAD FL
33032-8292
US

IV. Provider business mailing address

27355 SW 135TH AVENUE RD
HOMESTEAD FL
33032-8292
US

V. Phone/Fax

Practice location:
  • Phone: 786-329-9747
  • Fax:
Mailing address:
  • Phone: 786-329-9747
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberAPRN11020354
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: