Individual provider Active NPI

Rafael E Pinero, M.D.

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1104891019
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME73160 Issued in FL
Practice address
2766 E. Colonial Drive
Orlando, FL 32803-5025
Phone
(407) 426-9693
Fax
(407) 426-9694
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME73160 FL Primary

Addresses

Primary practice location

2766 E. Colonial Drive
Orlando, FL 32803-5025

Mailing address

2766 E. Colonial Drive
Orlando, FL 32803-5025
Phone (407) 426-9693

Other identifiers 1

IdentifierTypeStateIssuer
41542WOtherFLMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20051212000704 FL Practitioner - Family Practice 5294756755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pinero Preventive Medical Care PAGroup PAC ID 3476561473, 2 clinicians

Practice addresses (Care Compare)

2766 E Colonial Dr
Orlando, FL 32803-5025
Phone (407) 426-9693

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME73160FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinero Preventive Medical Care PA Family Medicine CurrentSince Mar 1, 2006 Accepting new patients

Locations

1720 S Orange Ave
Ste 200
Orlando, FL 32806
Phone (407) 426-9693

2766 E Colonial Dr
Orlando, FL 32803
Phone (407) 426-9693

Interoperability endpoints

  • Direct secure messaging: rafael.pinero@ppmc.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/JHEICD/Endpoint/JHEICD

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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1104891019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2766 E. COLONIAL DRIVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328035025",
            "telephone_number": "407-426-9693",
            "fax_number": "407-426-9694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2766 E. COLONIAL DRIVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328035025",
            "telephone_number": "407-426-9693",
            "fax_number": "407-426-9694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINERO",
        "first_name": "RAFAEL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME73160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "41542W",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.