Healthcare Provider Details
I. General information
NPI: 1447829361
Provider Name (Legal Business Name): ODEMARIS NARVAEZ DEL PILAR MD, PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/24/2021
Last Update Date: 06/26/2025
Certification Date: 06/26/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3333 BURNET AVENUE MLC 7041
CINCINNATI OH
45229-3039
US
IV. Provider business mailing address
3333 BURNET AVE MLC 7041
CINCINNATI OH
45229-3026
US
V. Phone/Fax
- Phone: 513-636-6771
- Fax:
- Phone: 513-636-6771
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 35.153174 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: