MEDICARE: CHRISTINA CHERY CHERIZAL

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	163WM0705X	Medical-Surgical Registered Nurse	RN9514033	FL

General Provider Information

NPI Number	:	1790628139
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA CHERY CHERIZAL

Provider Business Mailing Address
First Line	:	430 NW 117TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33168-3400
Country	:	US
Telephone Number	:	786-440-0798
Fax Number	:	786-440-0798

Provider Business Practice Location Address
First Line	:	430 NW 117TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33168-3400
Country	:	US
Telephone Number	:	786-440-0798
Fax Number	:

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

Provider Enumeration Date	:	04/10/2026
Last Update Date	:	04/10/2026

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Directions to “ CHRISTINA CHERY CHERIZAL ” Practice Location

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