Provider Demographics
NPI:1619840022
Name:CHAVEZ, EDUARDO JOSE (RPH)
Entity type:Individual
Prefix:MR
First Name:EDUARDO
Middle Name:JOSE
Last Name:CHAVEZ
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13930 SW 18TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-7027
Mailing Address - Country:US
Mailing Address - Phone:786-546-4883
Mailing Address - Fax:
Practice Address - Street 1:9191 W FLAGLER ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-2405
Practice Address - Country:US
Practice Address - Phone:786-801-5709
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-24
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS32542183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty