Healthcare Provider Details

I. General information

NPI: 1083936520
Provider Name (Legal Business Name): LUIS NAPOLEON PINZON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/25/2010
Last Update Date: 07/01/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 BLYTHE BLVD
CHARLOTTE NC
28203-5812
US

IV. Provider business mailing address

PO BOX 601372
CHARLOTTE NC
28260-1372
US

V. Phone/Fax

Practice location:
  • Phone: 704-355-2171
  • Fax: 704-355-5736
Mailing address:
  • Phone: 704-355-2171
  • Fax: 704-355-5736

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA110864
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number2011-00764
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: