Provider Demographics
NPI:1154384048
Name:LOVINARIA, DANILO NESTOR PAJARILLO
Entity type:Individual
Prefix:MR
First Name:DANILO
Middle Name:NESTOR PAJARILLO
Last Name:LOVINARIA
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 1:801 WASHINGTON AVE N
Mailing Address - Street 2:UNIT 312
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55401-1182
Mailing Address - Country:US
Mailing Address - Phone:612-345-7347
Mailing Address - Fax:
Practice Address - Street 1:801 WASHINGTON AVE N
Practice Address - Street 2:UNIT 312
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55401-1182
Practice Address - Country:US
Practice Address - Phone:612-345-7347
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2016-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR146096-6367500000X
CA645158367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI443-17600Medicaid
WI443-17600Medicaid