Pinecrest Family Medicine Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME89580 Issued in FL

Legal business name

PINECREST FAMILY MEDICINE INC

Practice address

8353 SW 124TH St
Suite 201
Miami, FL 33156-5847

Phone

(305) 235-4141

Fax

(305) 235-4381

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Agueda Hernandez, MDNPI 1699730903

Title

President

Phone

(305) 235-4141

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Agueda Hernandez, MD

  • Family Medicine Physician
  • Miami, FL
  • NPI 1699730903
  NPD Authorized official
• Alan S Seifer, MD

  • Family Medicine Physician
  • Miami, FL
  • NPI 1215978317
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286928000000",
    "number": "1851426019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8353 SW 124TH ST",
            "address_2": "SUITE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331565847",
            "telephone_number": "305-235-4141",
            "fax_number": "305-235-4381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8353 SW 124TH ST",
            "address_2": "SUITE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331565847",
            "telephone_number": "305-235-4141",
            "fax_number": "305-235-4381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINECREST FAMILY MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2010-10-13",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "AGUEDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-235-4141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME89580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2637103-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pine Island Medical Inc
• Janet H Pine, MD
• Pinecrest Acupuncture Inc
• Pinecrest Anesthesia Associates Inc
• Pinecrest Family Care Group, Inc
• Pinecrest Health Center LLC
• Pinecrest Medical Group
• Pinecrest Medical Specialists Inc
• Pinecrest Performance, LLC
• Pinecrest Pharmacy, Inc

• Family Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; 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.