Provider Demographics
NPI:1467892422
Name:FOIANINI, JORGE ESTEBAN (MD)
Entity Type:Individual
Prefix:DR
First Name:JORGE
Middle Name:ESTEBAN
Last Name:FOIANINI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:CALLE CHUQUISACA #737
Mailing Address - Street 2:CENTRO MEDICO FOIANINI
Mailing Address - City:SANTA CRUZ
Mailing Address - State:SANTA CRUZ
Mailing Address - Zip Code:00000
Mailing Address - Country:BO
Mailing Address - Phone:5917-766-7766
Mailing Address - Fax:
Practice Address - Street 1:CALLE CHUQUISACA #737
Practice Address - Street 2:CENTRO MEDICO FOIANINI
Practice Address - City:SANTA CRUZ
Practice Address - State:SANTA CRUZ
Practice Address - Zip Code:00000
Practice Address - Country:BO
Practice Address - Phone:5917-766-7766
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-04
Last Update Date:2013-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-8906208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery