Sophia Isabelle Pines, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME166619 Issued in FL

Practice address

11635 S Dixie Hwy
Pinecrest, FL 33156-4446

Phone

(786) 250-5224

NPI assigned

Mar 22, 2021

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Vitalmd Group Holding LLC

  • Obstetrics & Gynecology Physician
  • Miami, FL
  • NPI 1871572032

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1265018246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11635 S DIXIE HWY",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "331564446",
            "telephone_number": "786-250-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11635 S DIXIE HWY",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "331564446",
            "telephone_number": "786-250-5224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINES",
        "first_name": "SOPHIA",
        "middle_name": "ISABELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME166619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pinecrest Chiropractic PA
• Pinecrest Counseling
• Pinecrest Physical Therapy LLC
• Pinecrest Total Health LLC
• Dianelys Pineira, FNP
• Leidys Pino, FNP-BC
• Camila Poirrier, PT, DPT
• Matthew Pollack, HTTPS://NPPES.CMS.HH
• Prager Simon & Associates LLP
• Richard Prager, MD

• Pediatrics Physician in Pinecrest, FL
• Providers in Pinecrest, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.

Verify at the official NPI Registry.