Healthcare Provider Details

I. General information

NPI: 1245161512
Provider Name (Legal Business Name): JESSICA PINTADO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 S DIXIE HWY STE 4D
CORAL GABLES FL
33146-2232
US

IV. Provider business mailing address

6560 SW 29TH ST
MIAMI FL
33155-3910
US

V. Phone/Fax

Practice location:
  • Phone: 305-856-9000
  • Fax:
Mailing address:
  • Phone: 786-873-8658
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberPTA29989
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: