Healthcare Provider Details

I. General information

NPI: 1336692490
Provider Name (Legal Business Name): PININOS PEDIATRIC SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2016
Last Update Date: 08/10/2022
Certification Date: 08/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4321 N MESA ST # B
EL PASO TX
79902-1105
US

IV. Provider business mailing address

1500 FINSTERWALD PL
EL PASO TX
79936-6011
US

V. Phone/Fax

Practice location:
  • Phone: 915-966-9700
  • Fax:
Mailing address:
  • Phone: 817-209-4946
  • Fax: 915-201-0950

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080P0203X
TaxonomyPediatric Critical Care Medicine Physician
License NumberL5542
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JORGE SAINZ
Title or Position: OWNER
Credential: MD
Phone: 915-471-4688