Provider Demographics
NPI:1770933988
Name:BAGARIA, RITA
Entity type:Individual
Prefix:
First Name:RITA
Middle Name:
Last Name:BAGARIA
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 1:810 SW 129TH PL
Mailing Address - Street 2:APT 205
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33184-2185
Mailing Address - Country:US
Mailing Address - Phone:305-978-4863
Mailing Address - Fax:
Practice Address - Street 1:810 SW 129TH PL
Practice Address - Street 2:APT 205
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33184-2185
Practice Address - Country:US
Practice Address - Phone:305-978-4863
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-18
Last Update Date:2016-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care