Healthcare Provider Details

I. General information

NPI: 1215893292
Provider Name (Legal Business Name): LAURA CHIRINO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/02/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4739 SW 143RD CT
MIAMI FL
33175-6894
US

IV. Provider business mailing address

4739 SW 143RD CT
MIAMI FL
33175-6894
US

V. Phone/Fax

Practice location:
  • Phone: 305-731-0947
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberARNP11047118
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95423964
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: