Individual provider Active NPI

Orlando A. Pinero Briceno, MD

  • Internal Medicine Physician
  • St Petersburg, FL
National Provider Identifier
1073006078
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME172218 Issued in FL
Practice address
901 22ND Ave S
St Petersburg, FL 33705-2933
Phone
(727) 310-0925
NPI assigned
Jun 13, 2018
Last updated
Feb 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME172218 FL Primary

Addresses

Primary practice location

901 22ND Ave S
St Petersburg, FL 33705-2933

Mailing address

901 22ND Ave S
St Petersburg, FL 33705-2933
Phone (727) 310-0925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210727003128 NY Practitioner - Internal Medicine 3971906066 Reassigns benefits to 1 organization
I20250226003420 FL Practitioner - Internal Medicine 3971906066 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Union Community Health Center, Inc. CurrentSince Aug 6, 2021 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Apr 1, 2025 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Apr 1, 2025 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC Current Accepting new patients

Locations

4715 S Florida Ave
Lakeland, FL 33813
Phone (863) 209-7003

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

901 22nd Ave S
St Petersburg, FL 33705
Phone (727) 310-0925

2021 Grand Concourse
Bronx, NY 10453
Phone (718) 299-2800

260 E 188th St
Bronx, NY 10458
Phone (718) 618-8236

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: orlando.pinero.1@18107.direct.athenahealth.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1073006078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 22ND AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337052933",
            "telephone_number": "727-310-0925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 22ND AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337052933",
            "telephone_number": "727-310-0925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINERO BRICENO",
        "first_name": "ORLANDO",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-13",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME172218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.