Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | 74409 | FL |
NPI | 1295831220 |
---|---|
Provider Name | Dr. Ayleen Anna Pinera-Llano |
First Address | Miami, FL 33183-4627 |
Second Address | Miami, FL 33183-4627 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/09/2006 |
Last Update Date | 15/10/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
255762200 | (05) | FL |
74409 | MEDICAL LICENSE (01) | FL |