Individual
DR. ANDRES J PINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14000 FIVAY RD, HUDSON, FL 34667-7103
(727) 819-2929
Mailing address
PO BOX 336810, PONCE, PR 00733-6810
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
147952
FL
390200000X
Student in an Organized Health Care Education/Training Program
32304-R
PR
Other
Enumeration date
08/04/2014
Last updated
09/12/2021
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