Provider Demographics
NPI:1801034020
Name:PINA, PALOMA GAELLE (MD)
Entity type:Individual
Prefix:DR
First Name:PALOMA
Middle Name:GAELLE
Last Name:PINA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:209 NE 95TH ST STE 4
Mailing Address - Street 2:
Mailing Address - City:MIAMI SHORES
Mailing Address - State:FL
Mailing Address - Zip Code:33138-2745
Mailing Address - Country:US
Mailing Address - Phone:305-399-7485
Mailing Address - Fax:786-206-8612
Practice Address - Street 1:209 NE 95TH ST STE 4
Practice Address - Street 2:
Practice Address - City:MIAMI SHORES
Practice Address - State:FL
Practice Address - Zip Code:33138-2745
Practice Address - Country:US
Practice Address - Phone:305-399-7485
Practice Address - Fax:866-947-2942
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-26
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1068207RC0001X
FLME141485207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology