Provider Demographics
NPI:1750817953
Name:SMITH, PILAR
Entity Type:Individual
Prefix:
First Name:PILAR
Middle Name:
Last Name:SMITH
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 1:83 TOWNE COMMONS WAY APT 33
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45215-6165
Mailing Address - Country:US
Mailing Address - Phone:859-492-1772
Mailing Address - Fax:
Practice Address - Street 1:83 TOWNE COMMONS WAY APT 33
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45215-6165
Practice Address - Country:US
Practice Address - Phone:859-492-1772
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-08
Last Update Date:2017-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health