Organization Active NPI

Yanely Pineiro Puebla MD. PA.

  • Internal Medicine Physician
  • Pembroke Pines, FL
National Provider Identifier
1306366992
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME119291 Issued in FL
Legal business name
YANELY PINEIRO PUEBLA MD. PA.
Practice address
3 SW 129TH Ave Ste 101
Pembroke Pines, FL 33027-1778
Phone
(305) 720-1191
NPI assigned
Jun 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Authorized official

Name
Dr. Yanely Pineiro Puebla, MDNPI 1750702189
Title
President
Phone
(305) 720-1191

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME119291 FL Primary

Addresses

Primary practice location

3 SW 129TH Ave Ste 101
Pembroke Pines, FL 33027-1778

Mailing address

3 SW 129TH Ave Ste 101
Pembroke Pines, FL 33027-1778
Phone (954) 487-1516

Other identifiers 1

IdentifierTypeStateIssuer
021977900MedicaidFL

Other names 1

  • Priority Family Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180906002084 FL Part B Supplier - Clinic/Group Practice 6608126958 Receives reassigned benefits from 2 practitioners
Practice locations: Pembroke Pines, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2134048Yanely Pineiro Puebla MD PA3 SW 129TH Ave Suite #101, Pembroke Pines, FL 33027Certificate of waiverJul 24, 2027

National Provider Directory

National Provider Directory

Locations

3 SW 129th Ave
Ste 101
Pembroke Pines, FL 33027
Phone (954) 433-4200

12311 Taft St
Pembroke Pines, FL 33026
Phone (954) 680-0488

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757030400000",
    "number": "1306366992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SW 129TH AVE STE 101",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271778",
            "telephone_number": "954-487-1516",
            "fax_number": "954-487-1519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SW 129TH AVE STE 101",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271778",
            "telephone_number": "305-720-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YANELY PINEIRO PUEBLA MD. PA.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-23",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A",
        "authorized_official_last_name": "PINEIRO PUEBLA",
        "authorized_official_first_name": "YANELY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-720-1191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME119291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021977900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Priority Family Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Priority Family Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.