Active NPI
Jose Luis Patino, MD
- Family Medicine Physician
- Miami, FL
National Provider Identifier
1639330202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- TRN26147
- Practice address
- 3601 Federal Hwy
Miami, FL 33137-3795 - Phone
- (305) 576-6611
- NPI assigned
- Jun 17, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | TRN26147 | FL | Primary |
| Physician Assistant | 363A00000X | CI355 | FL |
Addresses
Primary practice location
3601 Federal Hwy
Miami, FL 33137-3795
Mailing address
5949 E Colonial Dr
Orlando, FL 32807-3444
Phone (407) 627-0087
Other practice location 1
4524 Chalfont Dr
Orlando, FL 32837-5048
Phone (407) 617-4621
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TRN26147 | Other | FL | DEPARTMENT OF HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TRN26147 | FL | MD | Family Medicine Physician |
| CI355 | FL | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525478400000",
"number": "1639330202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5949 E COLONIAL DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328073444",
"telephone_number": "407-627-0087",
"fax_number": "772-617-8242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 FEDERAL HWY",
"city": "MIAMI",
"state": "FL",
"postal_code": "331373795",
"telephone_number": "305-576-6611"
}
],
"practiceLocations": [
{
"address_1": "4524 Chalfont Dr",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328375048",
"country_code": "US",
"telephone_number": "407-617-4621",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATINO",
"first_name": "JOSE",
"middle_name": "LUIS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-17",
"last_updated": "2018-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "TRN26147",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "CI355",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF HEALTH",
"identifier": "TRN26147",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.