Active NPI
Andreina F Hurtado MD PA
Doing business as Pines Ophthalmology Care
- Specialist
- Pembroke Pines, FL
National Provider Identifier
1770674574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- ANDREINA F HURTADO MD PA
- Doing business as
- Pines Ophthalmology Care
- Practice address
- 302 NW 179 Avenue
Suite 202
Pembroke Pines, FL 33029 - Phone
- (954) 433-5152
- NPI assigned
- Sep 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andreina F Hurtado, MD
- Title
- Owner
- Phone
- (954) 433-5152
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
302 NW 179 Avenue
Suite 202
Pembroke Pines, FL 33029
Mailing address
302 NW 179 Avenue
Suite 202
Pembroke Pines, FL 33029
Phone (954) 433-5152
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11213201 | Other | FL | CITRUS HEALTH CARE |
| 56223 | Other | FL | NHP |
| 728759 | Other | FL | AETNA |
| 224581 | Other | FL | EYE MED |
| 4320 | Other | FL | TOTAL HEALTH CHOICE |
| 46513 | Other | FL | SPECTRA |
| 300124 | Other | FL | AVMED |
Other names 1
- Pines Ophthalmology Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
302 NW 179th Ave
Ste 202
Pembroke Pines, FL 33029
Phone (954) 433-5152
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Pembroke Pines, FL
- NPI 1417958166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1401667200000",
"number": "1770674574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 NW 179 AVENUE",
"address_2": "SUITE 202",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "33029",
"telephone_number": "954-433-5152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 NW 179 AVENUE",
"address_2": "SUITE 202",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "33029",
"telephone_number": "954-433-5152"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANDREINA F HURTADO MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-27",
"last_updated": "2014-06-02",
"status": "A",
"authorized_official_last_name": "HURTADO",
"authorized_official_first_name": "ANDREINA",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "954-433-5152",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CITRUS HEALTH CARE",
"identifier": "11213201",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHP",
"identifier": "56223",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "728759",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYE MED",
"identifier": "224581",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TOTAL HEALTH CHOICE",
"identifier": "4320",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPECTRA",
"identifier": "46513",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "300124",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Pines Ophthalmology Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.