Provider Demographics
NPI:1881773521
Name:PINNAVARIA, ESTELA (RPH)
Entity type:Individual
Prefix:
First Name:ESTELA
Middle Name:
Last Name:PINNAVARIA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9250 W BAY HARBOR DR # 7B
Mailing Address - Street 2:
Mailing Address - City:BAY HARBOR ISL
Mailing Address - State:FL
Mailing Address - Zip Code:33154
Mailing Address - Country:US
Mailing Address - Phone:305-354-4664
Mailing Address - Fax:305-354-4669
Practice Address - Street 1:15173 NE 21 AVE
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33154
Practice Address - Country:US
Practice Address - Phone:305-354-4664
Practice Address - Fax:305-354-4669
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH177031835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL4189240001Medicare ID - Type Unspecified