Individual
ELSIRA MARINA PINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
200 EDEN AVE, CINCINNATI, OH 45219-4231
(513) 475-8523
(513) 475-7327
Mailing address
PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 245-3104
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34-005031
OH
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
34-005031
OH
207RP1001X
Pulmonary Disease Physician
Primary
34-005031
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200201280
—
IN
05
—
2074786
—
OH
05
—
4047836
—
TN
05
—
64960909
—
KY
Enumeration date
05/02/2006
Last updated
08/22/2017
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