Provider Demographics
NPI:1952542839
Name:TINOCO, LORENA ANDREINA (MD)
Entity Type:Individual
Prefix:
First Name:LORENA
Middle Name:ANDREINA
Last Name:TINOCO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6705 S RED RD
Mailing Address - Street 2:STE 612
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-3649
Mailing Address - Country:US
Mailing Address - Phone:305-395-4400
Mailing Address - Fax:305-370-6957
Practice Address - Street 1:6705 S RED RD
Practice Address - Street 2:STE 612
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-3649
Practice Address - Country:US
Practice Address - Phone:305-395-4400
Practice Address - Fax:305-370-6957
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-23
Last Update Date:2019-10-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL112817207V00000X
FLME112817207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology