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General NPI Number Information
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NPI Number | 1922310127
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Entity Type | Individual
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Provider Name | MILAGROS TINIO BUENVIAJE M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/06/2010
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Last Update Date | 07/06/2010
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Provider Practice Location Address
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Address Line | 23275 EASTBROOK CT
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City | LOS ALTOS
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State | CA
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Zip | 94024-6606
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Country | US
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Telephone | 650-988-0828
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Fax | 650-988-0890
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Provider Business Mailing Address
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Address Line | 694 W DANA ST
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94041-1302
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | A32312
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License Number State | CA
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