Active NPI
Carlos Luis Pina, ARNP 9395534
- Nurse Practitioner
- Fort Lauderdale, FL
National Provider Identifier
1215431010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 9395534
- Practice address
- 750 SE 3Rd Ave Ste 100
Fort Lauderdale, FL 33316-1153 - Phone
- (954) 737-0273
- Fax
- (954) 761-2223
- NPI assigned
- Mar 19, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 9395534 | FL | Primary |
Addresses
Primary practice location
750 SE 3Rd Ave Ste 100
Fort Lauderdale, FL 33316-1153
Mailing address
6255 W Sunset Blvd FL 21
Los Angeles, CA 90028-7422
Phone (323) 860-5200
Other practice location 1
4096 Pine Ridge Ln
Weston, FL 33331-5031
Phone (954) 708-7191
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9395534 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| AIDS Healthcare Foundation | Past | Accepting new patients | |
| AIDS Healthcare Foundation | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Health Service Clinic/Center
- North Miami Beach, FL
- NPI 1427218874
-
- Clinic/Center
- Los Angeles, CA
- NPI 1295718187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714953600000",
"number": "1215431010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6255 W SUNSET BLVD FL 21",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900287422",
"telephone_number": "323-860-5200",
"fax_number": "323-467-7119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 SE 3RD AVE STE 100",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333161153",
"telephone_number": "954-737-0273",
"fax_number": "954-761-2223"
}
],
"practiceLocations": [
{
"address_1": "4096 Pine Ridge Ln",
"address_purpose": "LOCATION",
"city": "Weston",
"state": "FL",
"postal_code": "333315031",
"country_code": "US",
"telephone_number": "954-708-7191",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PINA",
"first_name": "CARLOS",
"middle_name": "LUIS",
"credential": "ARNP 9395534",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-19",
"last_updated": "2024-05-06",
"certification_date": "2024-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "9395534",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.