Provider Demographics
NPI:1639174303
Name:HORINE, SPERO CHRISTI (DPM)
Entity Type:Individual
Prefix:DR
First Name:SPERO
Middle Name:CHRISTI
Last Name:HORINE
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:DR
Other - First Name:S. CHRIS
Other - Middle Name:
Other - Last Name:HORINE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPM
Mailing Address - Street 1:2505 SAMARITAN DR
Mailing Address - Street 2:STE 509
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95124-4015
Mailing Address - Country:US
Mailing Address - Phone:408-358-2666
Mailing Address - Fax:408-358-7974
Practice Address - Street 1:2505 SAMARITAN DR
Practice Address - Street 2:STE 509
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95124-4015
Practice Address - Country:US
Practice Address - Phone:408-358-2666
Practice Address - Fax:408-358-7974
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-17
Last Update Date:2008-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE-1333213ES0103X
IDP-180213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAT10897Medicare UPIN
CA000E13330Medicare PIN