Nairim Pino

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Practice address

11500 SW 192ND St
Miami, FL 33157-8105

Phone

(786) 473-4631

NPI assigned

Aug 17, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Dos Aguas Group Home Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Miami, FL
  • NPI 1013858380

  Intermediate Care Facility, Intellectual Disabilities

  NPD Authorized official

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1659983179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 SW 192ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331578105",
            "telephone_number": "786-473-4631",
            "fax_number": "305-964-5113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 SW 192ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331578105",
            "telephone_number": "786-473-4631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINO",
        "first_name": "NAIRIM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021944900",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mami",
            "affiliation": "N",
            "address_1": "11500 SW 192nd St",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331578105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Isabella Pino
• Luis Pino
• Mayra Pino
• Mercedes Jacqueline Pino, DO
• Moraima A Pino
• Rachel Pino, RBT
• Rosemarie Pino
• Samantha Ann Pino, APRN
• Yadira Pino
• Yaima Pino

• Intellectual Disabilities Intermediate Care Facility in Miami, FL
• Providers in Miami, FL by specialty
• Intellectual Disabilities Intermediate Care Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.