Provider Demographics
NPI:1285949008
Name:PINA, ELOY
Entity type:Individual
Prefix:MR
First Name:ELOY
Middle Name:
Last Name:PINA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 N WESTGATE DR
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-2700
Mailing Address - Country:US
Mailing Address - Phone:956-447-5915
Mailing Address - Fax:
Practice Address - Street 1:310 N WESTGATE DR
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-2700
Practice Address - Country:US
Practice Address - Phone:956-447-5915
Practice Address - Fax:956-447-5917
Is Sole Proprietor?:No
Enumeration Date:2010-08-17
Last Update Date:2010-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX25349183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist