Organization Active NPI

Faith Health Providers

  • Pediatrics Physician
  • Miami, FL
National Provider Identifier
1639446503
Registry record updated Nov 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME66384 Issued in FL
Legal business name
FAITH HEALTH PROVIDERS
Practice address
12905 SW 42ND St
Suite 101
Miami, FL 33175-2905
Phone
(305) 220-4787
Fax
(305) 220-4786
NPI assigned
Nov 21, 2011
Last updated
Nov 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2011

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

Authorized official

Name
Rene Roberto Andino, MD
Title
Preident
Phone
(305) 220-4787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME66384 FL Primary

Addresses

Primary practice location

12905 SW 42ND St
Suite 101
Miami, FL 33175-2905

Mailing address

12905 SW 42ND St
Suite 101
Miami, FL 33175-2905
Phone (305) 220-4787

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1321833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321833600000",
    "number": "1639446503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12905 SW 42ND ST",
            "address_2": "SUITE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331752905",
            "telephone_number": "305-220-4787",
            "fax_number": "305-220-4786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12905 SW 42ND ST",
            "address_2": "SUITE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331752905",
            "telephone_number": "305-220-4787",
            "fax_number": "305-220-4786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH HEALTH PROVIDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-21",
        "last_updated": "2011-11-21",
        "status": "A",
        "authorized_official_last_name": "ANDINO",
        "authorized_official_first_name": "RENE",
        "authorized_official_middle_name": "ROBERTO",
        "authorized_official_title_or_position": "PREIDENT",
        "authorized_official_telephone_number": "305-220-4787",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME66384",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 21, 2011; 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.