Pines Medical Center P a

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PINES MEDICAL CENTER P A

Practice address

601 N Flamingo Rd
Suite 405
Pembroke Pines, FL 33028-1015

Phone

(954) 442-8761

Fax

(954) 392-0369

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

Ernesto Fuentes, M.D

Title

President

Phone

(954) 442-8761

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338422400000",
    "number": "1871630038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N FLAMINGO RD",
            "address_2": "SUITE 405",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281015",
            "telephone_number": "954-442-8761",
            "fax_number": "954-392-0369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N FLAMINGO RD",
            "address_2": "SUITE 405",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281015",
            "telephone_number": "954-442-8761",
            "fax_number": "954-392-0369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINES MEDICAL CENTER P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2012-05-31",
        "status": "A",
        "authorized_official_last_name": "FUENTES",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-442-8761",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pines Family Dental
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• Pines Imaging Center LLC
• Pines Injury Center, Inc.
• Pines Lymphatic Center LLC
• Pines Medical Clinic (Pines Medical Clinic Inc)
• Pines Medical Services Inc
• Pines Neurological Associates Inc
• Pines Palm Dental
• Pines Pediatric Dentistry and Orthodontics, PLLC

• Internal Medicine Physician in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; 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.