MEDICARE: GINO EMMANUEL DEMITRO

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1689431728
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GINO EMMANUEL DEMITRO

Provider Business Mailing Address
First Line	:	6614 HARVARD AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44105-4909
Country	:	US
Telephone Number	:	216-460-9319
Fax Number	:

Provider Business Practice Location Address
First Line	:	6614 HARVARD AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44105-4909
Country	:	US
Telephone Number	:	216-460-9319
Fax Number	:

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

Provider Enumeration Date	:	03/05/2024
Last Update Date	:	03/05/2024

Similar Medicare Providers

1235828724 — JBS LUNCH AND LITERACY OUTREACH CENTER FOR KIDS
Practice Location Address:

6624 HARVARD AVE
CLEVELAND, OH
44105-4909

Practice Phone: 216-355-7140
Practice Fax:

1699631606 — ALEACYANA JOHNSON
Practice Location Address:

3601 E 153RD ST
CLEVELAND, OH
44120-4909

Practice Phone: 216-867-8375
Practice Fax:

1417699190 — MARILOU VILLAREAL RN, BSN
Practice Location Address:

7 CLEVELAND ST
CALDWELL, NJ
07006-4909

Practice Phone: 973-226-9090
Practice Fax: 973-226-9093

1295466019 — MARIAN CARE LLC
Practice Location Address:

7 CLEVELAND ST
CALDWELL, NJ
07006-4909

Practice Phone: 973-226-9090
Practice Fax:

1295443968 — RUBY MASLOWSKI
Practice Location Address:

19 CLEVELAND ST
CALDWELL, NJ
07006-4909

Practice Phone: 917-650-0051
Practice Fax:

1639917081 — COREY JACKSON
Practice Location Address:

2217 E 79TH ST
CLEVELAND, OH
44103-4909

Practice Phone: 216-820-8333
Practice Fax:

Directions to “ GINO EMMANUEL DEMITRO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.