Individual provider Active NPI

Jose Luis Pumarino, M.D.

  • Pediatric Cardiology Physician
  • Miami, FL
National Provider Identifier
1710998026
Registry record updated Jun 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
ME83494 Issued in FL
Practice address
3659 South Miami Ave
3002
Miami, FL 33133
Phone
(305) 858-7940
Fax
(305) 858-2361
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X ME83494 FL Primary

Addresses

Primary practice location

3659 South Miami Ave
3002
Miami, FL 33133

Mailing address

1500 Concord Ter
Sunrise, FL 33323-2815
Phone (800) 243-3839

Other identifiers 1

IdentifierTypeStateIssuer
264403700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070316000412 FL Practitioner - Pediatric MedicinePractitioner - Cardiovascular Disease (Cardiology) 2567565203 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME83494FLMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Public Health Trust of Miami Dade County Florida CurrentSince Nov 25, 2024 Accepting new patients
Public Health Trust of Dade County Florida CurrentSince Nov 25, 2024 Accepting new patients
Public Health Trust of Miami Dade County Florida Current Accepting new patients
Baptist Outpatient Services Inc Past Accepting new patients
Baptist Outpatient Services Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Public Health Trust of Dade County Florida Past Accepting new patients

Locations

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

8950 N Kendall Dr
Ste 308W
Miami, FL 33176
Phone (305) 858-7940

3659 S Miami Ave
Ste 3002
Miami, FL 33133
Phone (305) 858-7940

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402444800000",
    "number": "1710998026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 CONCORD TER",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232815",
            "telephone_number": "800-243-3839",
            "fax_number": "954-858-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3659 SOUTH MIAMI AVE",
            "address_2": "3002",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33133",
            "telephone_number": "305-858-7940",
            "fax_number": "305-858-2361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUMARINO",
        "first_name": "JOSE",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2014-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "FL",
            "license": "ME83494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264403700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.