MEDICARE: AISHA YEIMA CHIRINO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	PTA 25970	FL

General Provider Information

NPI Number	:	1104294982
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AISHA YEIMA CHIRINO

Provider Business Mailing Address
First Line	:	14010 SW 39TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-6423
Country	:	US
Telephone Number	:	786-277-3561
Fax Number	:

Provider Business Practice Location Address
First Line	:	14010 SW 39TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-6423
Country	:	US
Telephone Number	:	786-277-3561
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/09/2015
Last Update Date	:	09/09/2015

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