Active NPI
Rene Andino, MD
- Pediatrics Physician
- Hialeah, FL
National Provider Identifier
1033159835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME66384
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric 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
| License | State | Type | Specialty |
|---|---|---|---|
| ME66384 | FL | MD | Obesity Medicine (Preventive Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New 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
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.