Active NPI
Carlos Piniella MD PA
- Allergy Physician
- Palmetto Bay, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- Legal business name
- CARLOS PINIELLA MD PA
- Practice address
- 9275 SW 152ND Street
Suite 210
Palmetto Bay, FL 33157-1774 - Phone
- (305) 255-9577
- Fax
- (305) 255-3115
- NPI assigned
- Jan 16, 2007
- Last updated
- Jan 30, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carlos Jesus Piniella, MD
- Title
- Owner
- Phone
- (305) 666-0726
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | ME0062377 | FL | |
| Allergy Physician | 207KA0200X | Primary | ||
| Clinical & Laboratory Immunology (Allergy & Immunology) Physician | 207KI0005X |
Addresses
Primary practice location
9275 SW 152ND Street
Suite 210
Palmetto Bay, FL 33157-1774
Mailing address
6705 SW 57TH Ave Ste 520
South Miami, FL 33143-3649
Phone (305) 666-0726
Other practice location 1
6705 SW 57th Ave Ste 520
South Miami, FL 33143-3649
Phone (305) 666-0726
Other practice location 2
3712 N Roosevelt Blvd Unit C
Key West, FL 33040-4533
Phone (305) 294-1578
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669381003 | Other | FL | CIGNA |
| 373947300 | Medicaid | FL | |
| 3739473-01 | Medicaid | FL | |
| 4519317 | Other | FL | AETNA |
| 3739473-03 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3712 N Roosevelt Blvd
Unit C
Key West, FL 33040
Phone (305) 294-1578
6705 SW 57th Ave
Ste 520
South Miami, FL 33143
Phone (305) 666-0726
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Boca Raton, FL
- NPI 1730846833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675036800000",
"number": "1255483905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6705 SW 57TH AVE STE 520",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331433649",
"telephone_number": "305-666-0726",
"fax_number": "305-666-0792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9275 SW 152ND STREET",
"address_2": "SUITE 210",
"city": "PALMETTO BAY",
"state": "FL",
"postal_code": "331571774",
"telephone_number": "305-255-9577",
"fax_number": "305-255-3115"
}
],
"practiceLocations": [
{
"address_1": "6705 SW 57th Ave Ste 520",
"address_purpose": "LOCATION",
"city": "South Miami",
"state": "FL",
"postal_code": "331433649",
"country_code": "US",
"telephone_number": "305-666-0726",
"fax_number": "305-666-0792",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3712 N Roosevelt Blvd Unit C",
"address_purpose": "LOCATION",
"city": "Key West",
"state": "FL",
"postal_code": "330404533",
"country_code": "US",
"telephone_number": "305-294-1578",
"fax_number": "305-294-1582",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CARLOS PINIELLA MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-16",
"last_updated": "2023-01-30",
"certification_date": "2023-01-30",
"status": "A",
"authorized_official_last_name": "PINIELLA",
"authorized_official_first_name": "CARLOS",
"authorized_official_middle_name": "JESUS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-666-0726",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": "FL",
"license": "ME0062377",
"primary": false
},
{
"code": "207KA0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Allergy & Immunology, Allergy",
"state": null,
"license": null,
"primary": true
},
{
"code": "207KI0005X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1669381003",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "373947300",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3739473-01",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4519317",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3739473-03",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palmetto Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.