Healthcare Provider Details

I. General information

NPI: 1710142203
Provider Name (Legal Business Name): TATIANA VONHERTWIG FERNANDES OLIVEIRA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/23/2008
Last Update Date: 07/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

SAN JOSE #300 HOSPITAL UNIVERSITARIO CAGURU
CURITIBA PARANA
80050- 350
BR

IV. Provider business mailing address

55 PEDRO MURARO STREET 5
CURITIBA PANAMA
82030- 620
BR

V. Phone/Fax

Practice location:
  • Phone: 554132713000
  • Fax: 554130295131
Mailing address:
  • Phone: 554133364685
  • Fax: 554133364685

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: