Provider Demographics
NPI:1669000337
Name:RUBINI SILVA CESCHIM, MARIANA (MD)
Entity type:Individual
Prefix:MRS
First Name:MARIANA
Middle Name:
Last Name:RUBINI SILVA CESCHIM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:MARIANA
Other - Middle Name:
Other - Last Name:RUBINI SILVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 935921
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:31193-5921
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:301 MEMORIAL MEDICAL PKWY
Practice Address - Street 2:
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32117-5167
Practice Address - Country:US
Practice Address - Phone:386-231-3147
Practice Address - Fax:386-231-3695
Is Sole Proprietor?:No
Enumeration Date:2020-03-30
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME160008207L00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program