Basic Information
| Provider Information | |||||||||
| NPI: | 1619598091 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LIRIANO | ||||||||
| FirstName: | FELIX | ||||||||
| MiddleName: | SAIMEN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 501 NORTH SECOND STREET | ||||||||
| Address2: | SUITE 400A, PO BOX 980308 | ||||||||
| City: | RICHMOND | ||||||||
| State: | VA | ||||||||
| PostalCode: | 232986397 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 501 NORTH 2ND ST STE A980308 | ||||||||
| Address2: | |||||||||
| City: | RICHMOND | ||||||||
| State: | VA | ||||||||
| PostalCode: | 232191359 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8048285093 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/27/2020 | ||||||||
| LastUpdateDate: | 04/27/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/27/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | Y | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.