Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | ME122939 | FL |
NPI | 1548461429 |
---|---|
Provider Name | Dr. Alejandro Ernesto Pino |
First Address | Atlanta, GA 30384-8175 |
Second Address | Miami, FL 33186-2182 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2007 |
Last Update Date | 09/12/2015 |