Individual provider Active NPI

Rene Andino, MD

  • Pediatrics Physician
  • Hialeah, FL
National Provider Identifier
1033159835
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME66384 Issued in FL
Practice address
3416 W 84TH St
Suite 100
Hialeah, FL 33018-4923
Phone
(305) 826-9449
Fax
(305) 828-1255
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Preventive Medicine) Physician 2083B0002X ME66384 FL
Pediatrics Physician 208000000X ME66384 FL Primary

Addresses

Primary practice location

3416 W 84TH St
Suite 100
Hialeah, FL 33018-4923

Mailing address

3416 W 84TH St Ste 100
Hialeah Gardens, FL 33018-4934
Phone (305) 826-9449

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Preventive Medicine
Education
Other, 1986
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3416 W 84TH St
Suite 100
Hialeah, FL 33018-4934

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME66384FLMDObesity Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Acd Pediatric Group PA Pediatrics Current Accepting new patients

Locations

3416 W 84th St
Ste 100
Hialeah Gardens, FL 33018
Phone (305) 826-9449

Interoperability endpoints

  • Direct secure messaging: randino@apg-fl.direct.office.nextgen.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1033159835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3416 W 84TH ST STE 100",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330184934",
            "telephone_number": "305-826-9449",
            "fax_number": "305-828-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3416 W 84TH ST",
            "address_2": "SUITE 100",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330184923",
            "telephone_number": "305-826-9449",
            "fax_number": "305-828-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDINO",
        "first_name": "RENE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "FL",
            "license": "ME66384",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME66384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.