Pinecrest Total Health LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PINECREST TOTAL HEALTH LLC

Practice address

10420 SW 77TH Ave Ste 100
Pinecrest, FL 33156-3771

Phone

(305) 877-4348

Fax

(954) 431-4246

NPI assigned

Jun 16, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Hugo Lara

Title

Administrador

Phone

(305) 877-4348

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Erika Lara, MD

  • Internal Medicine Physician
  • Pinecrest, FL
  • NPI 1407241144
  Medicare reassignment

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623974400000",
    "number": "1124696984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10420 SW 77TH AVE STE 100",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "331563771",
            "telephone_number": "305-877-4348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10420 SW 77TH AVE STE 100",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "331563771",
            "telephone_number": "305-877-4348",
            "fax_number": "954-431-4246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINECREST TOTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A",
        "authorized_official_last_name": "LARA",
        "authorized_official_first_name": "HUGO",
        "authorized_official_title_or_position": "ADMINISTRADOR",
        "authorized_official_telephone_number": "305-877-4348",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ann Perry, PH.D.
• Ean Phillips
• Pinecrest Chiropractic PA
• Pinecrest Counseling
• Pinecrest Physical Therapy LLC
• Dianelys Pineira, FNP
• Sophia Isabelle Pines, MD
• Leidys Pino, FNP-BC
• Camila Poirrier, PT, DPT
• Matthew Pollack, HTTPS://NPPES.CMS.HH

• Clinic/Center in Pinecrest, FL
• Providers in Pinecrest, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.