Provider Demographics
NPI:1144595547
Name:RESTREPO, MARGARITA M
Entity Type:Individual
Prefix:
First Name:MARGARITA
Middle Name:M
Last Name:RESTREPO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13917 FAIRWAY ISLAND DR
Mailing Address - Street 2:APT. 921
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32837-5242
Mailing Address - Country:US
Mailing Address - Phone:407-697-3050
Mailing Address - Fax:
Practice Address - Street 1:13917 FAIRWAY ISLAND DR
Practice Address - Street 2:APT. 921
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32837-5242
Practice Address - Country:US
Practice Address - Phone:407-697-3050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-19
Last Update Date:2012-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant