Provider Demographics
NPI:1669052056
Name:YIBIRIN CHACIN, VICTORIA DE LA TRINIDAD (MD)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:DE LA TRINIDAD
Last Name:YIBIRIN CHACIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 ROCKWOOD LN
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:TN
Mailing Address - Zip Code:37087-1574
Mailing Address - Country:US
Mailing Address - Phone:832-316-1197
Mailing Address - Fax:
Practice Address - Street 1:510 RECOVERY RD STE 257
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-4874
Practice Address - Country:US
Practice Address - Phone:615-781-4430
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-10
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program