Bravo-Fernandez, Caridad

Bravo-Fernandez, Caridad is an individual health care provider with primary practice located at 15262 N. 75Th Avenue, Suite 400 Pain Solution Center, Llc, Peoria AZ 85381-4762. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Bravo-Fernandez, Caridad can be contacted via phone (623) 486-1510.

Contact Information

Primary practice address
15262 N. 75Th Avenue, Suite 400 Pain Solution Center, Llc Peoria AZ 85381-4762
Phone: (623) 486-1510
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 45254 Wisconsin

Profile Details

NPI number 1518918978
LBN Legal business name Bravo-Fernandez, Caridad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Mar 21st, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518918978 NPPES
Other 004806261H HUMANA
MEDICAID 31543500 HUMANA

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