Provider Demographics
NPI:1730525437
Name:DARILO CHIRINO MD & ASSOCIATES LLC
Entity type:Organization
Organization Name:DARILO CHIRINO MD & ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DARILO
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIRINO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-566-7771
Mailing Address - Street 1:2513 MONTEREY CT
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33327-1509
Mailing Address - Country:US
Mailing Address - Phone:786-566-7771
Mailing Address - Fax:
Practice Address - Street 1:17180 ROYAL PALM BLVD STE 3
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33326-2394
Practice Address - Country:US
Practice Address - Phone:954-482-4747
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DARILO CHIRINO MD & ASSOCIATES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-05-21
Last Update Date:2017-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME103140207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL001622701Medicaid
FLBZ271UMedicare PIN