Healthcare Provider Details
I. General information
NPI: 1912226309
Provider Name (Legal Business Name): MARIA DEL PILAR BRINEZ GIRALDO M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/25/2010
Last Update Date: 09/10/2021
Certification Date: 09/10/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7755 NW 146TH ST
MIAMI LAKES FL
33016-1559
US
IV. Provider business mailing address
1301 CONCORD TER
SUNRISE FL
33323-2843
US
V. Phone/Fax
- Phone: 305-823-3590
- Fax:
- Phone: 800-243-3839
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | ME 121567 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2080P0202X |
| Taxonomy | Pediatric Cardiology Physician |
| License Number | ME121567 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: