Provider Demographics
NPI:1215348248
Name:PINAL, CRISTINA E (DO)
Entity type:Individual
Prefix:
First Name:CRISTINA
Middle Name:E
Last Name:PINAL
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1250 E CLIFF DR STE 3E
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-4847
Mailing Address - Country:US
Mailing Address - Phone:915-626-5548
Mailing Address - Fax:915-626-5411
Practice Address - Street 1:1250 E CLIFF DR STE 3E
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-4847
Practice Address - Country:US
Practice Address - Phone:915-626-5548
Practice Address - Fax:915-626-5411
Is Sole Proprietor?:No
Enumeration Date:2014-05-13
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10050809207R00000X
TXV1862207RN0300X
NMA-2256-19207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM1215348248Medicaid