Provider Demographics
NPI:1942716873
Name:REINALDO F PASTORA MD LLC
Entity type:Organization
Organization Name:REINALDO F PASTORA MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REINALDO
Authorized Official - Middle Name:F
Authorized Official - Last Name:PASTORA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:812-431-3331
Mailing Address - Street 1:PO BOX 3277
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47731-3277
Mailing Address - Country:US
Mailing Address - Phone:812-759-8271
Mailing Address - Fax:812-759-0636
Practice Address - Street 1:3700 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47714-0541
Practice Address - Country:US
Practice Address - Phone:812-485-4000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-14
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty