MEDICARE: JOSE R PINERO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	ME32942	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1144309840	OTHER	FL	NPI

General Provider Information

NPI Number	:	1144309840
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSE R PINERO MD

Provider Business Mailing Address
First Line	:	7100 W 20TH AVE
Second Line	:	SUITE 314
City	:	HIALEAH
State	:	FL
Zip	:	33016-1897
Country	:	US
Telephone Number	:	305-557-9300
Fax Number	:	305-825-8424

Provider Business Practice Location Address
First Line	:	7100 W 20TH AVE STE 205
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33016-1812
Country	:	US
Telephone Number	:	305-825-8424
Fax Number	:	305-557-9300

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/03/2006
Last Update Date	:	07/05/2019

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Directions to “ JOSE R PINERO MD” Practice Location

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