Individual provider Active NPI

Fernando Pacheco Pineyro

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1164137055
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11023845 Issued in FL
Practice address
5890 NW 173Rd Dr
Hialeah, FL 33015-5103
Phone
(305) 708-5555
Fax
(786) 652-1642
NPI assigned
Jan 16, 2023
Last updated
Apr 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11023845 FL Primary

Addresses

Primary practice location

5890 NW 173Rd Dr
Hialeah, FL 33015-5103

Mailing address

20725 SW 81St CT
Cutler Bay, FL 33189-3430
Phone (786) 720-1109

Other practice location 1

20725 SW 81st Ct
Cutler Bay, FL 33189-3430
Phone (786) 720-1109

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260413000107 FL Practitioner - Nurse Practitioner 7719452234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

20725 SW 81St CT
Cutler Bay, FL 33189-3430

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11023845FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Belen Health Center LLC CurrentSince Mar 4, 2026 Accepting new patients

Locations

5890 NW 173rd Dr
Hialeah, FL 33015
Phone (305) 708-5555

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IDABED/Endpoint/IDABED

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1164137055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20725 SW 81ST CT",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331893430",
            "telephone_number": "786-720-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5890 NW 173RD DR",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330155103",
            "telephone_number": "305-708-5555",
            "fax_number": "786-652-1642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20725 SW 81st Ct",
            "address_purpose": "LOCATION",
            "city": "Cutler Bay",
            "state": "FL",
            "postal_code": "331893430",
            "country_code": "US",
            "telephone_number": "786-720-1109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACHECO PINEYRO",
        "first_name": "FERNANDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-16",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11023845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.