Healthcare Provider Details

I. General information

NPI: 1043215460
Provider Name (Legal Business Name): CYRILDA NAVARRO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2005
Last Update Date: 03/24/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

252 W SWAMP RD STE 6
DOYLESTOWN PA
18901-2465
US

IV. Provider business mailing address

252 W SWAMP RD STE 6
DOYLESTOWN PA
18901-2465
US

V. Phone/Fax

Practice location:
  • Phone: 215-348-2258
  • Fax: 215-348-0373
Mailing address:
  • Phone: 215-348-2258
  • Fax: 215-348-0373

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD-030010-E
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier0022216001
Identifier TypeOTHER
Identifier State
Identifier IssuerKEYSTONE HEALTH PLAN EAST
# 2
Identifier1083391
Identifier TypeOTHER
Identifier State
Identifier IssuerKEYSTONE MERCY HEALTH PLA
# 3
Identifier01-0949744
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer
# 4
Identifier6634432
Identifier TypeOTHER
Identifier State
Identifier IssuerCIGNA
# 5
Identifier47285
Identifier TypeOTHER
Identifier State
Identifier IssuerAETNA HMO
# 6
IdentifierP422781
Identifier TypeOTHER
Identifier State
Identifier IssuerOXFORD HEALTH PLAN
# 7
Identifier435384
Identifier TypeOTHER
Identifier State
Identifier IssuerBLUE SHIELD
# 8
Identifier4417622
Identifier TypeOTHER
Identifier State
Identifier IssuerAETNA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: