Provider Demographics
NPI:1952569477
Name:CARINO, DARIO MENDOZA (RN)
Entity Type:Individual
Prefix:MR
First Name:DARIO
Middle Name:MENDOZA
Last Name:CARINO
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2030 DANDERHALL WAY
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95121-1326
Mailing Address - Country:US
Mailing Address - Phone:408-274-6485
Mailing Address - Fax:
Practice Address - Street 1:2030 DANDERHALL WAY
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95121-1326
Practice Address - Country:US
Practice Address - Phone:408-274-6485
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-30
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA690628163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse