Individual
DR. GEORGE PINO PEREZ SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2555 NW 102ND AVE STE 110, DORAL, FL 33172-1301
(305) 597-8707
Mailing address
4400 NW 79TH AVE APT 114, DORAL, FL 33166-6303
(786) 624-1454
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
363AM0700X
Medical Physician Assistant
Primary
000882-P.A.
PR
Other
Enumeration date
12/06/2017
Last updated
09/18/2024
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