Individual provider Active NPI

Antonio C Pinera, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Miami, FL
National Provider Identifier
1376575589
Registry record updated Oct 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
ME0018369 Issued in FL
Practice address
9930 SW 40TH St
Miami, FL 33165
Phone
(305) 226-6265
Fax
(305) 226-0998
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20080307000272 FL Practitioner - Family PracticePractitioner - Geriatric Medicine 9537244017 Practice locations: Miami, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
A3G Investments Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X ME0018369 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

9930 SW 40TH St
Miami, FL 33165

Mailing address

9930 SW 40TH St
Miami, FL 33165
Phone (305) 226-6265

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
0501883-00MedicaidFL

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 14, 2010.

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287014400000",
    "number": "1376575589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9930 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33165",
            "telephone_number": "305-226-6265",
            "fax_number": "305-226-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9930 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33165",
            "telephone_number": "305-226-6265",
            "fax_number": "305-226-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINERA",
        "first_name": "ANTONIO",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2010-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME0018369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0501883-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.