Individual
CARLOS JESUS PINIELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9275 SW 152 STREET, SUITE 210, MIAMI, FL 33157
(305) 255-9577
(305) 256-8633
Mailing address
9275 SW 152 STREET, SUITE 210, MIAMI, FL 33157
(305) 255-9577
(305) 256-8633
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
ME0062377
FL
207KA0200X
Allergy Physician
Primary
ME0062377
FL
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
ME0062377
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003021
NEIGHBORHOOD HEALTH
FL
01
—
1669381003
WELLCARE
FL
05
—
373947300
—
FL
01
—
650511984
TAX ID
FL
Enumeration date
05/18/2006
Last updated
01/30/2023
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