Provider Demographics
NPI:1073378725
Name:CENDOYA GARI, ADRIAN EDUARDO (RN)
Entity Type:Individual
Prefix:
First Name:ADRIAN
Middle Name:EDUARDO
Last Name:CENDOYA GARI
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 NW 141ST AVE APT 308
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33028-2317
Mailing Address - Country:US
Mailing Address - Phone:786-859-0516
Mailing Address - Fax:
Practice Address - Street 1:901 NW 141ST AVE APT 308
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33028-2317
Practice Address - Country:US
Practice Address - Phone:786-859-0516
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-20
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9648846163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health