Provider Demographics
NPI:1609873868
Name:ADONAI, CHISARA (MD)
Entity Type:Individual
Prefix:DR
First Name:CHISARA
Middle Name:
Last Name:ADONAI
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 1:6101 BLUE LAGOON DR STE 400
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-2051
Mailing Address - Country:US
Mailing Address - Phone:305-500-2000
Mailing Address - Fax:
Practice Address - Street 1:463646 SR 200 WEST
Practice Address - Street 2:SUITE 12
Practice Address - City:YULEE
Practice Address - State:FL
Practice Address - Zip Code:12181-0742
Practice Address - Country:US
Practice Address - Phone:904-775-3601
Practice Address - Fax:904-849-1919
Is Sole Proprietor?:No
Enumeration Date:2005-07-02
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY213701207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01946721Medicaid
NY01946721Medicaid
NYH06213Medicare UPIN