Basic Information
| Provider Information | |||||||||
| NPI: | 1043301997 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CHAPARRO | ||||||||
| FirstName: | SANDRA | ||||||||
| MiddleName: | VIVIANA | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
| OtherOrganizationName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 198054 | ||||||||
| Address2: | |||||||||
| City: | ATLANTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 303848054 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7865966880 | ||||||||
| FaxNumber: | 7865339261 | ||||||||
| Practice Location | |||||||||
| Address1: | 7400 SW 87TH AVE STE 100 | ||||||||
| Address2: | |||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331735458 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7862044201 | ||||||||
| FaxNumber: | 7865916001 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/27/2006 | ||||||||
| LastUpdateDate: | 01/31/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| AuthorizedOfficialTelephone: | |||||||||
| IsSoleProprietor: | Y | ||||||||
| IsOrganizationSubpart: | |||||||||
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| AuthorizedOfficialCredential: | |||||||||
| NPICertificationDate: | 01/31/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 2001019322 | MO | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RC0000X | ME 0101897 | FL | N | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease | 207RC0000X | 57.012845 | OH | N | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease | 207RA0001X | ME101897 | FL | Y |
ID Information
| ID | Type | State | Issuer | Description | AY308 | 01 | FL | MEDICARE | OTHER |