MEDICARE: MARIO PINEIRO MD PC

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	207R00000X	Internal Medicine Physician	10615	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417961335
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARIO PINEIRO MD PC

Provider Business Mailing Address
First Line	:	PO BOX 50070
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89016-0070
Country	:	US
Telephone Number	:	702-834-7000
Fax Number	:	702-834-7001

Provider Business Practice Location Address
First Line	:	3663 E SUNSET RD
Second Line	:	SUITE 302
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-3218
Country	:	US
Telephone Number	:	702-834-7000
Fax Number	:	702-834-7001

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MARIO PINEIRO
Credential	:	MD
Telephone Number	:	702-834-7000

Provider Enumeration Date	:	07/28/2006
Last Update Date	:	04/06/2012

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Directions to “MARIO PINEIRO MD PC ” Practice Location

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