Xiomara Fortunato
Nurse's Aide in Revere, MA. Individual provider (NPI-1).
NPI number1558091397
StatusActive
Last updated in NPPESJun 14, 2022
Details
- NPI
- 1558091397
- Entity type
- Individual (NPI-1)
- Name
- Xiomara Fortunato
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 14, 2022
- Certification date
- Jun 8, 2022
- Last updated
- Jun 14, 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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 376K00000X | Nurse's Aide | CNA59799 | MA | Yes |
Practice location
660 Revere Beach BlvdRevere, MA 02151
Phone 978-304-7572
Mailing address
660 Revere Beach Blvd.Revere, MA 02151
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