Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | ME69730 | FL |
N | 111NI0900X | Internist | ME69730 | FL |
Y | 207RN0300X | Nephrologist | ME69730 | FL |
NPI | 1013950542 |
---|---|
Provider Name | Ernesto Pinzon |
First Address | Sebring, FL 33870-4973 |
Second Address | Sebring, FL 33870-4973 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2006 |
Last Update Date | 04/02/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
28315 | BCBS (01) | FL |
390007438 | RAILROAD MEDICARE (01) | |
G22174 | (02) |