Healthcare Provider Details
I. General information
NPI: 1366074361
Provider Name (Legal Business Name): PININOS URGENT CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/07/2020
Last Update Date: 09/12/2022
Certification Date: 09/12/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4321 N MESA ST STE B
EL PASO TX
79902-1105
US
IV. Provider business mailing address
1500 FINSTERWALD PL
EL PASO TX
79936-6011
US
V. Phone/Fax
- Phone: 915-996-9700
- Fax: 915-260-8167
- Phone: 817-209-4946
- Fax: 915-201-0950
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2080P0203X |
| Taxonomy | Pediatric Critical Care Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JORGE
SAINZ
Title or Position: OWNER
Credential: MD
Phone: 915-471-4688