| Doctor Name: | DR. MARIO R PALOMINO |
| NPI Number: | 1043229164 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | ME87046 |
| Business Practice Address: | 3805 W 20th Ave Suite 105 Hialeah, FL - 330124532 |
| Business Phone Number: | 3055572277 |
| Business Fax Number: | 3055572278 |
| Mailing Address: | 3805 W 20th Ave, Suite 105 HIALEAH |
| State: | FL |
| Postal Code: | 330124532 |
| Phone Number: | 3055572277 |
| Fax Number: | 3055572278 |
| NPI Enumeration Date: | 08/07/2006 |
| NPI Last Update Date: | 04/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME87046 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |