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General NPI Number Information
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NPI Number | 1548461429
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Entity Type | Individual
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Provider Name | ALEJANDRO ERNESTO PINO M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/30/2007
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Last Update Date | 12/09/2015
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Provider Practice Location Address
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Address Line | 11801 SW 90TH ST SUITE 201
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City | MIAMI
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State | FL
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Zip | 33186-2182
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Country | US
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Telephone | 305-595-1317
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Fax | 305-279-6813
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Provider Business Mailing Address
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Address Line | PO BOX 198175
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City | ATLANTA
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State | GA
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Zip | 30384-8175
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Country | US
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Telephone | 305-595-1317
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Fax | 305-279-6813
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0004X
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Taxonomy Name | Orthopaedic Foot and Ankle Surgery Physician
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License Number | ME122939
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License Number State | FL
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