Provider Demographics
NPI:1275003279
Name:LORENA TINOCO MD PLLC
Entity Type:Organization
Organization Name:LORENA TINOCO MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MGR
Authorized Official - Prefix:DR
Authorized Official - First Name:LORENA
Authorized Official - Middle Name:
Authorized Official - Last Name:TINOCO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-395-4400
Mailing Address - Street 1:6705 S RED RD STE 612
Mailing Address - Street 2:
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-3649
Mailing Address - Country:US
Mailing Address - Phone:305-395-4400
Mailing Address - Fax:305-370-6957
Practice Address - Street 1:6705 S RED RD STE 612
Practice Address - Street 2:
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-3649
Practice Address - Country:US
Practice Address - Phone:305-395-4400
Practice Address - Fax:305-370-6957
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-03
Last Update Date:2019-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty