Provider Demographics
NPI:1700217445
Name:PINO THERAPY & MASSAGE INC
Entity Type:Organization
Organization Name:PINO THERAPY & MASSAGE INC
Other - Org Name:PINO THERAPY & MASSAGE INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:OSVALDO
Authorized Official - Middle Name:
Authorized Official - Last Name:PINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-251-0055
Mailing Address - Street 1:12360 SW 132ND CT STE 104
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-6461
Mailing Address - Country:US
Mailing Address - Phone:305-251-0055
Mailing Address - Fax:305-251-0019
Practice Address - Street 1:12360 SW 132ND CT STE 104
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-6461
Practice Address - Country:US
Practice Address - Phone:305-251-0055
Practice Address - Fax:305-251-0019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-05
Last Update Date:2013-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC10878261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy