Individual
NAIRIM PINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11500 SW 192ND ST, MIAMI, FL 33157-8105
(786) 473-4631
Mailing address
11500 SW 192ND ST, MIAMI, FL 33157-8105
(786) 473-4631
(305) 964-5113
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021944900
—
FL
Enumeration date
08/17/2020
Last updated
08/17/2020
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