Provider Demographics
NPI:1972574556
Name:PINEIRO, ROBERT LOUIS (PA)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:LOUIS
Last Name:PINEIRO
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4017 DEL PRADO BLVD
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33904-7160
Mailing Address - Country:US
Mailing Address - Phone:239-549-1398
Mailing Address - Fax:239-542-7881
Practice Address - Street 1:4017 DEL PRADO BLVD
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33904-7160
Practice Address - Country:US
Practice Address - Phone:239-549-1398
Practice Address - Fax:239-542-7881
Is Sole Proprietor?:No
Enumeration Date:2006-01-31
Last Update Date:2011-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA2811363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
U0351ZMedicare ID - Type Unspecified
P84152Medicare UPIN