Active NPIIndividual provider

Tatyana Divino, DO

Family Medicine in Storrs, Connecticut

NPI Number1780812099
Practice location
34 Proffessional Park RD, Storrs, CT 06268-1659
Fax
—
Last updated
July 17, 2019

Tatyana Divino is a Family Medicine based in Storrs, CT. Tatyana Divino practices in Storrs, CT and has the professional credentials of DO. The NPI Number for Tatyana Divino is 1780812099 and holds a License No. 052233 (CT). The current practice location address for Tatyana Divino is 34 Proffessional Park RD, Storrs, CT 06268-1659 and can be reached out via phone at 860-487-0002.

Provider Profile Details

NPI Number
1780812099
Provider Name
Tatyana Divino
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
34 Proffessional Park RD, Storrs, CT 06268-1659
Phone Number
860-487-0002
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
June 25, 2009
Last Update Date
July 17, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
34 Proffessional Park RD
Storrs, CT 06268-1659
City
Storrs
Zip
06268-1659
Phone Number
860-487-0002
Storrs, CT 06268Get directions →

Provider Business Mailing Address Details

Address
34 Proffessional Park RD
Storrs, CT 06268-1659
City
Storrs
State
CT
Zip
06268-1659
Phone Number
860-487-0002
Fax Number
860-429-1663

License Information

License Number
052233
License State
CT
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tatyana Divino, DO?

The NPI number of Tatyana Divino, DO is 1780812099. It was assigned on June 25, 2009 and is currently active in the NPPES registry.

What is the specialty of Tatyana Divino, DO?

Tatyana Divino, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in CT under license number 052233.

Where does Tatyana Divino, DO practice?

The practice location is 34 Proffessional Park RD, Storrs, CT 06268-1659. The office can be reached at 860-487-0002 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1780812099 directly on the NPPES registry website.

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