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NPI Code Detail

MEDICARE: JUAN JOSE PILARTE M.D.

MEDICARE:   JUAN JOSE PILARTE  M.D.
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
12080A0000XPediatric Adolescent Medicine Physician199747NY

Other Identifiers

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

General Provider Information

NPI Number : 1457441487
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUAN JOSE PILARTE M.D.
Provider Business Mailing Address
First Line : 1001 GRAND CONCOURSE APT 1E
Second Line :
City : BRONX
State : NY
Zip : 10452-9122
Country : US
Telephone Number : 718-293-3566
Fax Number : 718-293-3547
Provider Business Practice Location Address
First Line : 1001 GRAND CONCOURSE APT 1E
Second Line :
City : BRONX
State : NY
Zip : 10452-9122
Country : US
Telephone Number : 718-293-3566
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2006
Last Update Date : 05/26/2017

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Directions to “ JUAN JOSE PILARTE M.D.” Practice Location

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