Provider Demographics
NPI:1831283746
Name:PESANTE-PINTO, JOSE L (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:L
Last Name:PESANTE-PINTO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:C11 CALLE 37
Mailing Address - Street 2:COLINAS DE MONTECARLO
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00924-5802
Mailing Address - Country:US
Mailing Address - Phone:787-501-2619
Mailing Address - Fax:
Practice Address - Street 1:100 AVE LAUREL
Practice Address - Street 2:SANTA JUANITA
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956-4816
Practice Address - Country:US
Practice Address - Phone:787-740-4343
Practice Address - Fax:787-740-4343
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2009-05-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR6622207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine