Individual
FERNANDO PINO RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7036 CORAL WAY, MIAMI, FL 33155-1603
(786) 673-3555
Mailing address
8811 SW 123RD CT APT 102, MIAMI, FL 33186-1957
(305) 588-7545
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DN24271
FL
1223P0700X
Prosthodontics
Primary
DN24271
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/03/2014
Last updated
05/16/2023
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