Active NPI
Eduardo P Pinto, SAC
- Surgical Assistant
- Miami Lakes, FL
National Provider Identifier
1073843835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 09188
- Practice address
- 8102 NW 158TH Ter
Miami Lakes, FL 33016-7119 - Phone
- (305) 558-2787
- Fax
- (305) 819-9714
- NPI assigned
- Dec 30, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 09188 | CO | Primary |
Addresses
Primary practice location
8102 NW 158TH Ter
Miami Lakes, FL 33016-7119
Mailing address
8102 NW 158TH Ter
Miami Lakes, FL 33016-7119
Phone (305) 558-2787
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09188 | Other | CO | AMERICAN BOARD OF SURGICAL ASSISTANTS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09188 | CO | MD | Surgical Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surg Med Assistants | Past | Accepting new patients | |
| Surg Med of Northshore | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Surgical Physician Assistant
- Miami Lakes, FL
- NPI 1053470849
-
- Surgical Physician Assistant
- Miami Lakes, FL
- NPI 1316006117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262131200000",
"number": "1073843835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8102 NW 158TH TER",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330167119",
"telephone_number": "305-558-2787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8102 NW 158TH TER",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330167119",
"telephone_number": "305-558-2787",
"fax_number": "305-819-9714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINTO",
"first_name": "EDUARDO",
"middle_name": "P",
"credential": "SAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-12-30",
"last_updated": "2009-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "CO",
"license": "09188",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN BOARD OF SURGICAL ASSISTANTS",
"identifier": "09188",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.