Provider Demographics
NPI:1528043866
Name:PINTO, JOSE FILIPE (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:FILIPE
Last Name:PINTO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:10023 S US HWY 1
Mailing Address - Street 2:SUITE A
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34952-5643
Mailing Address - Country:US
Mailing Address - Phone:772-398-5339
Mailing Address - Fax:772-337-2666
Practice Address - Street 1:10023 S US HWY 1
Practice Address - Street 2:SUITE A
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34952-5643
Practice Address - Country:US
Practice Address - Phone:772-398-5339
Practice Address - Fax:772-337-2666
Is Sole Proprietor?:No
Enumeration Date:2005-12-09
Last Update Date:2018-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME87434207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP00057106OtherRAILROAD MEDICARE
FL78990OtherBCBS
FL78990ZMedicare ID - Type UnspecifiedPERSONAL MEDICARE ID
FL78990OtherBCBS
FLP00057106OtherRAILROAD MEDICARE