Individual
IRVIANNY ROSARIO MADERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 BARNES-JEWISH HOSPITAL PLAZA, IM DIVISION OF NEPHROLOGY, ST LOUIS, MO 63110-0352
(314) 362-9096
(314) 747-5213
Mailing address
660 SOUTH EUCLID AVENUE MSC: 8126-21-8801, ST LOUIS, MO 63110
(314) 362-7211
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/22/2022
Last updated
06/19/2026
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