Provider Demographics
NPI:1467243360
Name:SARAIVA, VITORIA (RN)
Entity type:Individual
Prefix:
First Name:VITORIA
Middle Name:
Last Name:SARAIVA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:VITORIA
Other - Middle Name:
Other - Last Name:SOARES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:16 MSGR PATRICK J LYDON WAY APT 5
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02124-2523
Mailing Address - Country:US
Mailing Address - Phone:781-816-3722
Mailing Address - Fax:
Practice Address - Street 1:1493 CAMBRIDGE ST
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02139-1047
Practice Address - Country:US
Practice Address - Phone:617-665-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2344419163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse