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NPI Code Detail

MEDICARE: MASSIEL PINO

MEDICARE:   MASSIEL  PINO
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
1247200000XOther Technician

General Provider Information

NPI Number : 1508213109
Entity Type Code : Individual
Provider Name (Legal Business Name) : MASSIEL PINO
Provider Business Mailing Address
First Line : 5564 NW 170 ST
Second Line :
City : MIAMI GARDENS
State : FL
Zip : 33055
Country : US
Telephone Number : 786-955-5678
Fax Number :
Provider Business Practice Location Address
First Line : 5564 NW 170 ST
Second Line :
City : MIAMI GARDENS
State : FL
Zip : 33055
Country : US
Telephone Number : 786-955-5678
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2016
Last Update Date : 05/24/2016

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Directions to “ MASSIEL PINO ” Practice Location

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