Organization Active NPI

Pines True Smile

  • General Practice Dentistry
  • Pembroke Pines, FL
National Provider Identifier
1487445003
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PINES TRUE SMILE
Practice address
11246 Pines Blvd
Pembroke Pines, FL 33026-4101
Phone
(954) 703-2474
Fax
(954) 693-6010
NPI assigned
May 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Authorized official

Name
Sheila Ronquillo
Title
Office Manager
Phone
(786) 390-5716

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

11246 Pines Blvd
Pembroke Pines, FL 33026-4101

Mailing address

11246 Pines Blvd
Pembroke Pines, FL 33026-4101
Phone (954) 703-2474

National Provider Directory

National Provider Directory

Locations

11246 Pines Blvd
Pembroke Pines, FL 33026
Phone (954) 703-2474

NPI Registry JSON

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

{
    "created_epoch": "1747180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747180800000",
    "number": "1487445003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11246 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330264101",
            "telephone_number": "954-703-2474",
            "fax_number": "954-693-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11246 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330264101",
            "telephone_number": "954-703-2474",
            "fax_number": "954-693-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINES TRUE SMILE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-14",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A",
        "authorized_official_last_name": "RONQUILLO",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "786-390-5716"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.