Provider Demographics
NPI:1053887380
Name:PIERRE, RICHARDSON ALIGRE
Entity type:Individual
Prefix:MR
First Name:RICHARDSON
Middle Name:ALIGRE
Last Name:PIERRE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13145 SW 196TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177-4279
Mailing Address - Country:US
Mailing Address - Phone:786-269-7081
Mailing Address - Fax:
Practice Address - Street 1:13145 SW 196TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33177-4279
Practice Address - Country:US
Practice Address - Phone:786-269-7081
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-14
Last Update Date:2018-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPN5236200164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse