Provider Demographics
NPI:1821381401
Name:CHAVEZ, KARINA ANDREA
Entity Type:Individual
Prefix:
First Name:KARINA
Middle Name:ANDREA
Last Name:CHAVEZ
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:USCG AIRSTATION BORINQUEN
Mailing Address - Street 2:260 GUARD ROAD
Mailing Address - City:AGUADILLA
Mailing Address - State:PUERTO RICO
Mailing Address - Zip Code:00603
Mailing Address - Country:UM
Mailing Address - Phone:787-890-8477
Mailing Address - Fax:
Practice Address - Street 1:260 GUARD RD
Practice Address - Street 2:USCG AIRSTATION BORINQUEN MEDICAL CLINIC
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603
Practice Address - Country:US
Practice Address - Phone:787-890-8477
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-16
Last Update Date:2011-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other