Wilfredo Pinero, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA 9103796 Issued in FL

Practice address

1150 Campo Sano Ave
Coral Gables, FL 33146-1174

Phone

(786) 268-6200

Fax

(786) 533-9978

NPI assigned

Mar 28, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wilfredop@cerner.directbaptisthealth.com

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.

• Baptist Health Medical Group Orthopedics, LLC

  • Durable Medical Equipment & Medical Supplies
  • Miami Gardens, FL
  • NPI 1386333144
  NPD
• Baptist Health Medical Group Orthopedics, LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Coral Gables, FL
  • NPI 1700072535
  NPD

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1720107923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100905",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303840905",
            "telephone_number": "786-268-6200",
            "fax_number": "786-533-9978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 CAMPO SANO AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331461174",
            "telephone_number": "786-268-6200",
            "fax_number": "786-533-9978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINERO",
        "first_name": "WILFREDO",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL 1207",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA 9103796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Jacquelyn Pincus, DPT
• Roxanna Pineda Gomez
• Sindy Pineda Rodriguez
• Carlos Alberto Pineda Jr., PTA
• Julie J Pineda
• Pines Total Health Center Inc
• Cindy Pineyro
• Carra Pinnock, RN
• Jessica Pino, BA
• Keely Pinones-Haltenhoff

• Medical Physician Assistant in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.