Provider Demographics
NPI:1043554694
Name:FREIRE-PINTO PA
Entity Type:Organization
Organization Name:FREIRE-PINTO PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:FREIRE
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:786-554-1644
Mailing Address - Street 1:9120 SW 29TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-3225
Mailing Address - Country:US
Mailing Address - Phone:786-554-1644
Mailing Address - Fax:
Practice Address - Street 1:9120 SW 29TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-3225
Practice Address - Country:US
Practice Address - Phone:786-554-1644
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-20
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9171380364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult HealthGroup - Single Specialty