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Andrew Ranae Chavez

Technician, Other in Stuart, FL. Individual provider (NPI-1).

NPI number1083349005
StatusActive
Last updated in NPPESJul 22, 2022

Details

NPI
1083349005
Entity type
Individual (NPI-1)
Name
Andrew Ranae Chavez
Sex
Male
Sole proprietor
No
Enumeration date
Jul 22, 2022
Certification date
Jul 15, 2022
Last updated
Jul 22, 2022

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
247200000X Technician, Other––Yes

Practice location

7108 S Kanner Hwy
Stuart, FL 34997-7462

Phone 855-832-6727

Mailing address

4994 W Decatur Ave
Fresno, CA 93722-2313

Phone 559-906-0595

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Other Technician providers in Stuart, FL

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