Wilfredo Noel Tijerino, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9108185 Issued in FL

Practice address

6141 Sunset Dr Ste 403
South Miami, FL 33143-5026

Phone

(305) 663-8877

NPI assigned

Sep 8, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Reiss Kang Jayanetti Pereda Galinanes, MD, PAGroup PAC ID 3870520034, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• South Miami Hospital Hospital, Miami, FL, CCN 100154

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wilfredo.tijerino.1@24151.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/24151/brand/1/csg/1/fhir/r4

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.

• Reiss Kang Jayanetti Pereda Galinanes, MD, PA

  • Vascular Surgery Physician
  • Miami, FL
  • NPI 1952343550
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• South Miami Hospital Inc

  • General Acute Care Hospital
  • South Miami, FL
  • NPI 1982688230
  Care Compare affiliation

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

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415145600000",
    "number": "1134520380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5312 SW 152ND CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331854129",
            "telephone_number": "305-803-5916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6141 SUNSET DR STE 403",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435026",
            "telephone_number": "305-663-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIJERINO",
        "first_name": "WILFREDO",
        "middle_name": "NOEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-08",
        "last_updated": "2014-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9108185",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9108185",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Lite Center
• Kimberly Ann Thompson, M.D.
• Thrive Miami, LLC
• Phat Hai Tien, PA-C
• Travis S Tierney, M.D.
• Lorena Andreina Tinoco, M.D
• Anna K Tischenko, P.T., PHD
• TMJ Dental Consultants Inc
• Omar Todd, RCSWI
• Dinelly Toledo

• Physician Assistant in South Miami, FL
• Providers in South Miami, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.