Doctor Name: | DR. JOSE P PIZARRO OTERO |
NPI Number: | 1669528550 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 16695 |
Business Practice Address: | 4102 N Macdill Ave Suite A Tampa, FL - 336076717 |
Business Phone Number: | 8138712853 |
Business Fax Number: | 8138771609 |
Mailing Address: | 401 N Parsons Ave, Suite 105 BRANDON |
State: | FL |
Postal Code: | 335104538 |
Phone Number: | 8136532775 |
Fax Number: | 8136534521 |
NPI Enumeration Date: | 01/25/2007 |
NPI Last Update Date: | 02/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 16695 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |