Healthcare Provider Details

I. General information

NPI: 1710972989
Provider Name (Legal Business Name): CRISTINA MARIA PIREZ DE CARDENAS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CRISTINA PIREZ DE CARDENAS MD

II. Dates (important events)

Enumeration Date: 09/14/2005
Last Update Date: 08/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1210 S OLD DIXIE HWY
JUPITER FL
33458
US

IV. Provider business mailing address

1613 N. HARRISON PARKWAY SUITE 200,MAILSTOP SH-9A
SUNRISE FL
33323-2896
US

V. Phone/Fax

Practice location:
  • Phone: 561-263-2234
  • Fax:
Mailing address:
  • Phone: 954-838-2371
  • Fax: 954-851-1746

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code173000000X
TaxonomyLegal Medicine
License NumberME81271
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME81271
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: