Organization Active NPI

Fernando Pino M.D.P.a.

  • Psychiatric Hospital Unit
  • Miami, FL
National Provider Identifier
1285923896
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
ME52016 Issued in FL
Legal business name
FERNANDO PINO M.D.P.A.
Practice address
8600 SW 92ND Street
Suite # 104
Miami, FL 33156-7377
Phone
(305) 595-1949
Fax
(305) 595-6455
NPI assigned
Apr 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2012

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

Authorized official

Name
Fernando Pino, M.D.,P.A.NPI 1336151794
Title
Medical Doctor
Phone
(305) 595-1949

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X ME52016 FL Primary

Addresses

Primary practice location

8600 SW 92ND Street
Suite # 104
Miami, FL 33156-7377

Mailing address

8600 SW 92ND Street
Suite # 104
Miami, FL 33156-7377
Phone (305) 595-1949

Other identifiers 1

IdentifierTypeStateIssuer
371123400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110405001008 FL Part B Supplier - Clinic/Group Practice 5193909760 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL; South Miami, FL

National Provider Directory

National Provider Directory

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344988800000",
    "number": "1285923896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 SW 92ND STREET",
            "address_2": "SUITE # 104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567377",
            "telephone_number": "305-595-1949",
            "fax_number": "305-595-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 SW 92ND STREET",
            "address_2": "SUITE # 104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567377",
            "telephone_number": "305-595-1949",
            "fax_number": "305-595-6455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERNANDO PINO M.D.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-04",
        "last_updated": "2012-08-15",
        "status": "A",
        "authorized_official_last_name": "PINO",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "305-595-1949",
        "authorized_official_credential": "M.D.,P.A."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "FL",
            "license": "ME52016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371123400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.

Verify at the official NPI Registry.