Provider Demographics
NPI:1609408632
Name:CAJINA, HARVEY JAVIER
Entity Type:Individual
Prefix:
First Name:HARVEY
Middle Name:JAVIER
Last Name:CAJINA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:190 PEBBLE BEACH BLVD APT 103
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34113-8342
Mailing Address - Country:US
Mailing Address - Phone:786-570-6059
Mailing Address - Fax:
Practice Address - Street 1:190 PEBBLE BEACH BLVD APT 103
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34113-8342
Practice Address - Country:US
Practice Address - Phone:786-470-6059
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-07
Last Update Date:2020-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program