Provider Demographics
NPI:1508177916
Name:HORACIO A SPINA MD
Entity Type:Organization
Organization Name:HORACIO A SPINA MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:DR
Authorized Official - First Name:HORACIO
Authorized Official - Middle Name:
Authorized Official - Last Name:SPINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-561-5775
Mailing Address - Street 1:1050 BOWER HILL RD
Mailing Address - Street 2:SUITE 303
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15243-1800
Mailing Address - Country:US
Mailing Address - Phone:412-561-5775
Mailing Address - Fax:412-561-2002
Practice Address - Street 1:1050 BOWER HILL RD
Practice Address - Street 2:SUITE 303
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15243-1800
Practice Address - Country:US
Practice Address - Phone:412-561-5775
Practice Address - Fax:412-561-2002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-30
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
077171Medicare PIN