Provider Demographics
NPI:1306006440
Name:PINEIRO FAMILY PRACTICE, PLLC
Entity Type:Organization
Organization Name:PINEIRO FAMILY PRACTICE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:MINERVA
Authorized Official - Middle Name:
Authorized Official - Last Name:PINEIRO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:828-883-8181
Mailing Address - Street 1:342 S CALDWELL ST
Mailing Address - Street 2:
Mailing Address - City:BREVARD
Mailing Address - State:NC
Mailing Address - Zip Code:28712-3902
Mailing Address - Country:US
Mailing Address - Phone:828-883-8181
Mailing Address - Fax:828-883-8711
Practice Address - Street 1:342 S CALDWELL ST
Practice Address - Street 2:
Practice Address - City:BREVARD
Practice Address - State:NC
Practice Address - Zip Code:28712-3902
Practice Address - Country:US
Practice Address - Phone:828-883-8181
Practice Address - Fax:828-883-8711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-12
Last Update Date:2009-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNC200201299207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty