Healthcare Provider Details

I. General information

NPI: 1447386826
Provider Name (Legal Business Name): MARIA FATINA PIRES RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 HARRISON AVE BOSTON MEDICAL CENTER
BOSTON MA
02118
US

IV. Provider business mailing address

9 ROYAL CREST DR #5
RANDOLPH MASS MA
02368
US

V. Phone/Fax

Practice location:
  • Phone: 617-414-2080
  • Fax: 617-414-2090
Mailing address:
  • Phone: 781-961-5018
  • Fax: 617-414-2090

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN212555
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: