Active NPI
Alisha Faye Pineiro, D.O.
- Pediatrics Physician
- Trinity, FL
National Provider Identifier
1669771028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- OS11858
- Practice address
- 10710 State Road 54
Suite 108
Trinity, FL 34655-2263 - Phone
- (727) 376-4040
- Fax
- (727) 376-8824
- NPI assigned
- Mar 23, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | OS11858 | FL | Primary |
Addresses
Primary practice location
10710 State Road 54
Suite 108
Trinity, FL 34655-2263
Mailing address
900 S Pine Island Rd
Suite 800
Plantation, FL 33324-3920
Phone (727) 376-4040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010863200 | Medicaid | FL |
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS11858 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saltzman, Tanis, Pittell, Levin and Jacobson | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Pediatric Associates
- Pediatrics Physician
- Hollywood, FL
- NPI 1639138480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633392000000",
"number": "1669771028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 S PINE ISLAND RD",
"address_2": "SUITE 800",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333243920",
"telephone_number": "727-376-4040",
"fax_number": "727-376-8824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10710 STATE ROAD 54",
"address_2": "SUITE 108",
"city": "TRINITY",
"state": "FL",
"postal_code": "346552263",
"telephone_number": "727-376-4040",
"fax_number": "727-376-8824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINEIRO",
"first_name": "ALISHA",
"middle_name": "FAYE",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-23",
"last_updated": "2021-10-05",
"certification_date": "2021-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "OS11858",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010863200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Trinity, FL
- Phoenix Regenerative Medicine Solutions, LLC
- Physical Medicine & Rehab Consultants LLC (RegenMed of Florida)
- David Christopher Pielak, D.D.S
- Schiley Pierre Louis, DO
- John Peter Pilarczyk, DVM
- Ramya Pinnamaneni, M.D.
- Cheyenne T Pirrello
- Amanda Morris Pittenger, BA
- Vanessa Yvonne Ponder
- Ashley Poole, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.