Individual provider Active NPI

Andreina F Hurtado, MD

  • Ophthalmology Physician
  • Pembroke Pines, FL
National Provider Identifier
1417958166
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME84373 Issued in FL
Practice address
302 NW 179TH Ave
Suite 202
Pembroke Pines, FL 33029-2818
Phone
(954) 433-5152
Fax
(954) 433-5114
NPI assigned
Aug 3, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME84373 FL Primary

Addresses

Primary practice location

302 NW 179TH Ave
Suite 202
Pembroke Pines, FL 33029-2818

Mailing address

302 NW 179TH Ave
Suite 202
Pembroke Pines, FL 33029-2818
Phone (954) 433-5152

Other identifiers 9

IdentifierTypeStateIssuer
33512312OtherFLCIGNA
01579OtherFLBLUE CTROSS BLUE SHIELD
4320OtherFLTOTAL HEALTH CHOICE
11213201OtherFLCITRUS HEALTH CARE
46513OtherFLSPECTA
56223OtherFLNHP
224581OtherFLEYE MED
300124OtherFLAV MED
7280759OtherFLAETNA

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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050427000639 FL Practitioner - Ophthalmology 6901845189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

302 NW 179TH Ave
Suite 202
Pembroke Pines, FL 33029-2818
Phone (954) 433-5152

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME84373FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Andreina F Hurtado MD PA CurrentSince May 1, 2005 Accepting new patients
South Florida Eye Associates, PA Ophthalmology Past Accepting new patients
Pediatric Eye Associates Inc Ophthalmology Past Accepting new patients
Stanley D Braverman MD LLC Ophthalmology Past Accepting new patients
Aran Eye Associates PA Past Accepting new patients
South Florida Eye Associates, PA Ophthalmology Past Accepting new patients

Locations

302 NW 179th Ave
Ste 202
Pembroke Pines, FL 33029
Phone (954) 433-5152

Interoperability endpoints

  • Direct secure messaging: drhurtadomd@pinesophth.direct.eyemdemr.com
  • Direct secure messaging: andreina.hurtadomd.p1@direct.araneyeassociates.nextgenshare.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203379200000",
    "number": "1417958166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 NW 179TH AVE",
            "address_2": "SUITE 202",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330292818",
            "telephone_number": "954-433-5152",
            "fax_number": "954-433-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 NW 179TH AVE",
            "address_2": "SUITE 202",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330292818",
            "telephone_number": "954-433-5152",
            "fax_number": "954-433-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURTADO",
        "first_name": "ANDREINA",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-03",
        "last_updated": "2008-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME84373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "33512312",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CTROSS BLUE SHIELD",
            "identifier": "01579",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TOTAL HEALTH CHOICE",
            "identifier": "4320",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CITRUS HEALTH CARE",
            "identifier": "11213201",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTA",
            "identifier": "46513",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP",
            "identifier": "56223",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYE MED",
            "identifier": "224581",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AV MED",
            "identifier": "300124",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7280759",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.