| Fernando Pino M.d.p.a. | |
|
8600 Sw 92nd Street Suite # 104 Miami FL 33156-7377 | |
| (305) 595-1949 | |
| (305) 595-6455 |
| Full Name | Fernando Pino M.d.p.a. |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 8600 Sw 92nd Street, Miami, Florida |
| Authorized Official Name and Position | Fernando Pino (MEDICAL DOCTOR) |
| Authorized Official Contact | 3055951949 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fernando Pino M.d.p.a. 8600 Sw 92nd Street Suite # 104 Miami FL 33156-7377 Ph: (305) 595-1949 | Fernando Pino M.d.p.a. 8600 Sw 92nd Street Suite # 104 Miami FL 33156-7377 Ph: (305) 595-1949 |
| NPI Number | 1285923896 |
|---|---|
| Provider Enumeration Date | 04/04/2011 |
| Last Update Date | 08/15/2012 |
| Medicare PECOS PAC ID | 5193909760 |
|---|---|
| Medicare Enrollment ID | O20110405001008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285923896 | NPI | - | NPPES |
| 371123400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | ME52016 (Florida) | Primary |
| Provider Name | Fernando Pino |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336151794 PECOS PAC ID: 3072604362 Enrollment ID: I20090515000534 |
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