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General NPI Number Information
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NPI Number | 1417961335
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Entity Type | Organization
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Legal Business Name | MARIO PINEIRO MD PC
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 04/06/2012
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Provider Practice Location Address
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Address Line | 3663 E SUNSET RD SUITE 302
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City | LAS VEGAS
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State | NV
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Zip | 89120-3218
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Country | US
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Telephone | 702-834-7000
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Fax | 702-834-7001
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Provider Business Mailing Address
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Address Line | PO BOX 50070
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City | HENDERSON
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State | NV
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Zip | 89016-0070
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Country | US
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Telephone | 702-834-7000
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Fax | 702-834-7001
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARIO PINEIRO
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Credential | MD
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Telephone | 702-834-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 10615
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License Number State | NV
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