Provider Demographics
NPI:1013165596
Name:CHAVARRIA, MARIA LIGIA
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:LIGIA
Last Name:CHAVARRIA
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 1:17750 NW 87TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33018-6608
Mailing Address - Country:US
Mailing Address - Phone:305-213-5725
Mailing Address - Fax:305-819-4718
Practice Address - Street 1:17750 NW 87TH CT
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33018-6608
Practice Address - Country:US
Practice Address - Phone:305-213-5725
Practice Address - Fax:305-819-4718
Is Sole Proprietor?:No
Enumeration Date:2008-09-08
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT11294225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist