Healthcare Provider Details

I. General information

NPI: 1649937459
Provider Name (Legal Business Name): DIANELYS PINEIRA FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2021
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8765 S DIXIE HWY
PINECREST FL
33156-1111
US

IV. Provider business mailing address

8765 S DIXIE HWY
PINECREST FL
33156-1111
US

V. Phone/Fax

Practice location:
  • Phone: 305-740-6840
  • Fax:
Mailing address:
  • Phone: 305-740-6840
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number11016238
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11016238
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: