Provider Demographics
NPI:1528023959
Name:PINERO CADIZ, FERNANDO E (DPM)
Entity Type:Individual
Prefix:
First Name:FERNANDO
Middle Name:E
Last Name:PINERO CADIZ
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HUMACAO MEDICAL PLAZA 53 EAST
Mailing Address - Street 2:FONT MARTELO AVE SUITE 204
Mailing Address - City:HUMACAO
Mailing Address - State:PR
Mailing Address - Zip Code:00791-0859
Mailing Address - Country:US
Mailing Address - Phone:787-852-7733
Mailing Address - Fax:787-852-7733
Practice Address - Street 1:HUMACAO MEDICAL PLAZA SUITE 204 FONT MARTELO AVE. 53 E
Practice Address - Street 2:
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00792-0000
Practice Address - Country:US
Practice Address - Phone:787-852-7733
Practice Address - Fax:787-852-7733
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-19
Last Update Date:2011-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR0032213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRU25009Medicare UPIN
PR4-8059Medicare ID - Type Unspecified