Dr. SERGIO PINEIRO, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address

Dr. SERGIO PINEIRO, MD

1053 Medical Center Dr., Ste. 151

Indemnity Paid: $583,333.00

Insurer Information

Insurer Name				Coverage Type
MAG MUTUAL INSURANCE COMPANY				Primary
Insurer FEIN		Professional License Number
58-1449198
Insurer Contact Information
Type		Entity Name
Entity		MAG MUTUAL INSURANCE COMPANY
Street Address
8427 South Park Circle Suite 130
City				State	Zip
Orlando				FL	32819
Phone	Ext	Fax	E-Mail Address
(407) 370 - 3813		(407) 370 - 2247	ctschanz@magmutual.com

Insured Information

Type	First Name		MI	Last Name
Individual	SERGIO			PINEIRO
Insurer Type		Street Address of Practice
Licensed		1053 Medical Center Dr., Ste. 151
City		State	Zip Code	County
Orange City		FL	32763	Volusia
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
PSL 1602223 06		$500,000		$1,500,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
OS5971		Radiology - interventional

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			F	Volusia
City			State	Zip Code

Location where injury occured		Other location where injury occured
Hospital Inpatient Facility
Name of Institution		Code
FLORIDA HOSPITAL (ORLANDO)		100007
Location of Institutional Injury		Other Location of Institutional Injury
Radiology, Emergency Room
Date of Occurrence		Date Reported to Insurer
9/9/2010		7/30/2012

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Skull fracture
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
CT of head/brain
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose skull fracture
Principal Injury Giving Rise To The Claim
Intracranial bleeding
Severity Of Injury
Permanent: Death.

Legal Information

Date of Suit			Circuit Court Case Number
11/29/2012			2012-CA-19234
County Suit Filed in			Date of Final Disposition
Orange			12/31/2013
Other Defendants Involved in this Claim
Edwards, MD, Samuel Central Florida Medical Imaging Noran, MD, William H Vista Staffing Solutions On Assignment, Inc. Florida Hospital Deland
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision			Other
No Court Proceedings.
Arbitration
Claim not subject to Arbitration.
Date of Payment
8/2/2013

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$583,333

Loss Adjust Expense Paid to Defense Counsel

$17,841

All Other Loss Adjustment Expense Paid

$9,165

Injured Person's Total Non-Economic Loss

Deductible

Injured Person's Total Economic Loss

Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely

Risk management has counseled insured.

Updates

Date of Change:

1/17/2014 10:48:01 AM

Reason for Change:

Report updated to reflect Court Document final disposition date of 12/31/13

Field Changed	Former Value	New Value
Date of Final Disposition	02-AUG-13	31-DEC-13

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Does Dr. SERGIO PINEIRO, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. SERGIO PINEIRO, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).