Provider Demographics
NPI:1467089763
Name:CORRIA CEDENO, DAILIS BARBARA (MD)
Entity Type:Individual
Prefix:
First Name:DAILIS
Middle Name:BARBARA
Last Name:CORRIA CEDENO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2102 TREASURE HILLS BLVD
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-8736
Mailing Address - Country:US
Mailing Address - Phone:956-296-1491
Mailing Address - Fax:956-389-4603
Practice Address - Street 1:170 MANNING DR, CB 7305
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7305
Practice Address - Country:US
Practice Address - Phone:919-966-4431
Practice Address - Fax:919-966-6735
Is Sole Proprietor?:No
Enumeration Date:2020-03-25
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program