Doctor Name: | DR. ELLIOT PINERO |
NPI Number: | 1598755829 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 35896 |
Business Practice Address: | 77 Nealy Ave Joint Base Langley-eustis, VA - 236652040 |
Business Phone Number: | 7193335115 |
Business Fax Number: | 7193335091 |
Mailing Address: | 77 Nealy Ave, JOINT BASE LANGLEY-EUSTIS |
State: | VA |
Postal Code: | 236652040 |
Phone Number: | 7193335115 |
Fax Number: | 7193335091 |
NPI Enumeration Date: | 10/27/2005 |
NPI Last Update Date: | 06/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 35896 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |