Provider Demographics
NPI:1912778440
Name:DEL PINO, ARELYS (PA-C)
Entity type:Individual
Prefix:MRS
First Name:ARELYS
Middle Name:
Last Name:DEL PINO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2150 S ANDREWS AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33316-3496
Mailing Address - Country:US
Mailing Address - Phone:954-463-6408
Mailing Address - Fax:954-463-1858
Practice Address - Street 1:2150 S ANDREWS AVE STE 100
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33316-3496
Practice Address - Country:US
Practice Address - Phone:954-463-6408
Practice Address - Fax:954-463-1858
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-12
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9118316363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant