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General NPI Number Information
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NPI Number | 1922135284
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Entity Type | Organization
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Legal Business Name | LOS PINOS MEDICAL CENTER CORP
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 05/28/2008
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Provider Practice Location Address
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Address Line | 4212 W 16TH AVE
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City | HIALEAH
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State | FL
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Zip | 33012-7629
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Country | US
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Telephone | 305-821-5525
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Fax | 305-821-5590
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Provider Business Mailing Address
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Address Line | 4212 W 16TH AVE
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City | HIALEAH
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State | FL
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Zip | 33012-7629
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Country | US
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Telephone | 305-821-5525
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Fax | 305-821-5590
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Authorized Official
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Title or Position | OWNER
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Name | DR. JUAN J SALINA
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Credential | M.D.
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Telephone | 305-821-5525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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