Provider Demographics
NPI:1457644841
Name:RACIEL PINTADO MD PA
Entity Type:Organization
Organization Name:RACIEL PINTADO MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RACIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PINTADO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-962-1180
Mailing Address - Street 1:2261 N UNIVERSITY DR
Mailing Address - Street 2:STE 101
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-3623
Mailing Address - Country:US
Mailing Address - Phone:954-962-1180
Mailing Address - Fax:954-265-5988
Practice Address - Street 1:2261 N UNIVERSITY DR
Practice Address - Street 2:STE 101
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-3623
Practice Address - Country:US
Practice Address - Phone:954-962-1180
Practice Address - Fax:954-265-5988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-18
Last Update Date:2011-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty