Organization Active NPI

Pines Health Center Inc

  • Multi-Specialty Clinic/Center
  • Medley, FL
National Provider Identifier
1407408677
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
PINES HEALTH CENTER INC
Practice address
7911 NW 72ND Ave Ste 111
Medley, FL 33166-2221
Phone
(305) 888-6959
Fax
(305) 887-8198
NPI assigned
Jul 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Authorized official

Name
Mr. Jaynier Moya, MD
Title
Owner
Phone
(305) 776-5822

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

7911 NW 72ND Ave Ste 111
Medley, FL 33166-2221

Mailing address

PO Box 521044
Miami, FL 33152-1044
Phone (305) 888-6959

Other practice location 1

711 NW 21st Court
Miami, FL 33125
Phone (305) 888-6959

Other practice location 2

1460 S Palm Ave
Pembroke Pines, FL 33025-5520
Phone (305) 888-6959

Other names 3

  • EALTH CARE CENTER OF LITTLE HAVANA Doing business as
  • HEALTH CARE CENTER OF MIAMI Doing business as
  • HEALTH CARE CENTER OF PEMBROKE PINES Doing business as

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
10D2320529Pines Health Center Inc7911 NW 72ND Ave, Ste 111, Medley, FL 33166Certificate of waiverMar 18, 2027

National Provider Directory

National Provider Directory

Locations

10011 Pines Blvd
Ste 203C
Pembroke Pines, FL 33024
Phone (305) 776-5822

NPI Registry JSON

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1407408677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 521044",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331521044",
            "telephone_number": "305-888-6959",
            "fax_number": "305-887-8198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7911 NW 72ND AVE STE 111",
            "city": "MEDLEY",
            "state": "FL",
            "postal_code": "331662221",
            "telephone_number": "305-888-6959",
            "fax_number": "305-887-8198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "711 NW 21st Court",
            "address_purpose": "LOCATION",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33125",
            "country_code": "US",
            "telephone_number": "305-888-6959",
            "fax_number": "305-887-8198",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1460 S Palm Ave",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330255520",
            "country_code": "US",
            "telephone_number": "305-888-6959",
            "fax_number": "305-887-8198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PINES HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-09",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "MOYA",
        "authorized_official_first_name": "JAYNIER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-776-5822",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EALTH CARE CENTER OF LITTLE HAVANA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EALTH CARE CENTER OF LITTLE HAVANA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HEALTH CARE CENTER OF MIAMI",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HEALTH CARE CENTER OF PEMBROKE PINES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Medley, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.