Active NPI
Mariel Pinero
- General Practice Physician
- Kissimmee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ACN646
- Practice address
- 1044 Plaza Dr
Kissimmee, FL 34743-4064 - Phone
- (407) 350-5659
- Fax
- (407) 350-5662
- NPI assigned
- Jul 22, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 13123 | PR | |
| General Practice Physician | 208D00000X | ACN646 | FL | Primary |
Addresses
Primary practice location
1044 Plaza Dr
Kissimmee, FL 34743-4064
Mailing address
6675 Westwood Blvd Ste 475
Orlando, FL 32821-6027
Phone (407) 845-0330
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1044 Plaza Dr
Kissimmee, FL 34743-4064
Phone (407) 350-5659
Hospital & facility affiliations
- Vitas Healthcare Corporation of Florida
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13123 | PR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Best Value Healthcare LLC | Current | Accepting new patients | |
| Medical Home Alliance LLC | Current | Accepting new patients | |
| Medical Home Alliance LLC | Past | Accepting new patients |
Locations
111 Webb Dr
Ste 1
Davenport, FL 33837
1044 Plaza Dr
Kissimmee, FL 34743
Phone (407) 350-5659
2382 Griffin Rd
Lakeland, FL 33810
Phone (863) 225-2627
3800 E Bay Dr
Largo, FL 33771
Phone (727) 539-0505
6675 Westwood Blvd
Ste 475
Orlando, FL 32821
Phone (407) 845-0384
199 Avenue K SE
Winter Haven, FL 33880
Phone (563) 588-1424
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Davenport, FL
- NPI 1740527811
-
- Internal Medicine Physician
- Clearwater, FL
- NPI 1790152015
-
- Non-Pharmacy Dispensing Site
- Winter Haven, FL
- NPI 1033648233
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Boynton Beach, FL
- NPI 1467507657
-
- Community Based Hospice Care Agency
- Miami Lakes, FL
- NPI 1528113792
-
- Community Based Hospice Care Agency
- Melbourne, FL
- NPI 1669548053
-
- Community Based Hospice Care Agency
- Tallahassee, FL
- NPI 1972555464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522108800000",
"number": "1891795654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6675 WESTWOOD BLVD STE 475",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328216027",
"telephone_number": "407-845-0330",
"fax_number": "888-972-1752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1044 PLAZA DR",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347434064",
"telephone_number": "407-350-5659",
"fax_number": "407-350-5662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINERO",
"first_name": "MARIEL",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-22",
"last_updated": "2018-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "13123",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ACN646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.