MEDICARE: FE C PINO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide		FL
2	106S00000X	Behavior Technician		FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235619792
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FE C PINO

Provider Business Mailing Address
First Line	:	642 NW 5TH AVE APT A206
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33136-3294
Country	:	US
Telephone Number	:	786-387-1991
Fax Number	:

Provider Business Practice Location Address
First Line	:	642 NW 5TH AVE APT A206
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33136-3294
Country	:	US
Telephone Number	:	786-387-1991
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2018
Last Update Date	:	08/15/2018

Similar Medicare Providers

1588558423 — ACCESS MEDICAL GROUP OF MIAMI MEDICARE, LLC
Practice Location Address:

701 NW 27TH AVE
MIAMI, FL
33125-3012

Practice Phone: 786-744-1900
Practice Fax: 305-760-4141

1265240816 — CLAUDIA CISNEROS
Practice Location Address:

642 NW 5TH AVE APT A207
MIAMI, FL
33136-3294

Practice Phone: 786-674-5607
Practice Fax:

1770522963 — JOSE R MARTIN MD
Practice Location Address:

3119 CORAL WAY UNIT 3121A
MIAMI, FL
33145-3294

Practice Phone: 786-360-3213
Practice Fax:

1003674979 — ROYAL BEHAVIORAL SERVICES LLC
Practice Location Address:

3119 CORAL WAY STE 3121B
MIAMI, FL
33145-3294

Practice Phone: 786-360-3213
Practice Fax:

1811739204 — SHERILYN K VILLALOBOS
Practice Location Address:

10315 NW 9TH STREET CIR APT 505
MIAMI, FL
33172-3294

Practice Phone: 786-223-4987
Practice Fax:

1801773270 — GRECHEL CASTILLO MONZON
Practice Location Address:

15292 SW 104TH ST APT 36
MIAMI, FL
33196-3294

Practice Phone: 786-216-9835
Practice Fax:

Directions to “ FE C PINO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.