Provider Demographics
NPI:1639499049
Name:HINOJOSA, PABLO E
Entity Type:Individual
Prefix:MR
First Name:PABLO
Middle Name:E
Last Name:HINOJOSA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CALLE B #56-A
Mailing Address - Street 2:URB. LOMAS DEL SOL
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969
Mailing Address - Country:US
Mailing Address - Phone:787-234-7964
Mailing Address - Fax:787-789-8006
Practice Address - Street 1:PMB 293 HC 01
Practice Address - Street 2:BOX 29030
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-234-7964
Practice Address - Fax:787-789-8006
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-08
Last Update Date:2010-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4986506347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle