Antonio Pino | Miami, FL • PECOS Search

Antonio Pino

General Practice

Allopathic & Osteopathic Physicians

13311 SW 47th St, Miami, FL 33175-5256

PECOS Enrollment

Based on the most recent information from CMS, provider Antonio Pino does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1033306576
Provider Type
Individual
Full Name
Pino, Antonio
Credential
MD

Gender
Male
Sole Proprietor
Yes
Enumeration Date
9/28/2007
Last Updated
3/21/2011

Contact Information

Practice Location

13311 SW 47th St, Miami, FL 33175-5256

Unlisted Fax

Mailing Location

13311 SW 47th St, Miami, FL 33175-5256

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208D00000X Primary	Description General Practice Allopathic & Osteopathic Physicians	License ME92834 Florida