Provider Demographics
NPI:1366243131
Name:CHAMORRO, ALEXANDRA BEATRIZ (NBCHWC)
Entity type:Individual
Prefix:MRS
First Name:ALEXANDRA
Middle Name:BEATRIZ
Last Name:CHAMORRO
Suffix:
Gender:F
Credentials:NBCHWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7801 NW 37TH ST STE SAL 5593
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33195-6503
Mailing Address - Country:US
Mailing Address - Phone:305-497-8825
Mailing Address - Fax:
Practice Address - Street 1:1945 BROADWAY APT 502
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-2214
Practice Address - Country:US
Practice Address - Phone:305-497-8825
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-19
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator