Provider Demographics
NPI:1295831220
Name:PINERA-LLANO, AYLEEN ANNA (MD)
Entity Type:Individual
Prefix:DR
First Name:AYLEEN
Middle Name:ANNA
Last Name:PINERA-LLANO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8501 SW 124TH AVE
Mailing Address - Street 2:SUITE 208
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-4627
Mailing Address - Country:US
Mailing Address - Phone:305-595-4478
Mailing Address - Fax:305-595-5027
Practice Address - Street 1:8501 SW 124TH AVE
Practice Address - Street 2:208
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-4627
Practice Address - Country:US
Practice Address - Phone:305-595-4478
Practice Address - Fax:305-595-5027
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2013-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL744092080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL255762200Medicaid
FL74409OtherMEDICAL LICENSE