Provider Demographics
NPI:1952633067
Name:CIANCHINI, MARIA DEL CARMEN
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:DEL CARMEN
Last Name:CIANCHINI
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:URB APOLO
Mailing Address - Street 2:CALLE GEA QQ9
Mailing Address - City:GUAYNABO
Mailing Address - State:PUERTO RICO
Mailing Address - Zip Code:00969
Mailing Address - Country:UM
Mailing Address - Phone:787-789-6604
Mailing Address - Fax:
Practice Address - Street 1:URB APOLO
Practice Address - Street 2:CALLE GEA QQ9
Practice Address - City:GUAYNABO
Practice Address - State:PUERTO RICO
Practice Address - Zip Code:00969
Practice Address - Country:UM
Practice Address - Phone:787-789-6604
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-01
Last Update Date:2010-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR393225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist