Provider Demographics
NPI:1548461429
Name:PINO, ALEJANDRO ERNESTO (MD)
Entity type:Individual
Prefix:DR
First Name:ALEJANDRO
Middle Name:ERNESTO
Last Name:PINO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 198175
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30384-8175
Mailing Address - Country:US
Mailing Address - Phone:305-595-1317
Mailing Address - Fax:305-279-6813
Practice Address - Street 1:11801 SW 90TH ST
Practice Address - Street 2:SUITE 201
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-2182
Practice Address - Country:US
Practice Address - Phone:305-595-1317
Practice Address - Fax:305-279-6813
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2015-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME122939207XX0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0004XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryFoot and Ankle Surgery