Organization Active NPI

Pines Care Medical Center, LLC

  • Primary Care Clinic/Center
  • Pembroke Pines, FL
National Provider Identifier
1114223831
Registry record updated Oct 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PINES CARE MEDICAL CENTER, LLC
Practice address
501 NW 103 Ave
Pembroke Pines, FL 33026
Phone
(954) 251-1497
Fax
(954) 404-9537
NPI assigned
Jan 27, 2011
Last updated
Oct 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2014

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

Authorized official

Name
Mrs. Yanelys Trejo
Title
Administrator
Phone
(954) 251-1497

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

501 NW 103 Ave
Pembroke Pines, FL 33026

Mailing address

501 NW 103 Ave
Pembroke Pines, FL 33026
Phone (954) 251-1497

National Provider Directory

National Provider Directory

Locations

301 NW 103rd Ave
Ste 235
Pembroke Pines, FL 33026
Phone (954) 251-1497

NPI Registry JSON

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

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1114223831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 NW 103 AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33026",
            "telephone_number": "954-251-1497",
            "fax_number": "954-404-9537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 NW 103 AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33026",
            "telephone_number": "954-251-1497",
            "fax_number": "954-404-9537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINES CARE MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-27",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "TREJO",
        "authorized_official_first_name": "YANELYS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-251-1497",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.