Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pinecrest Pediatrics, PA

Organization Pediatrics Physician · NPI 1417047184

Pinecrest Pediatrics, PA is a Pediatrics Physician in Hialeah, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

18590 NW 67th Ave Ste # 101
Hialeah, FL 33015-3306
Phone: (305) 819-8633
Fax: (305) 819-8630
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 4648755 (FL)

Record details

NPI number1417047184
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lorraine Fuentes — President · (305) 819-8633
NPI enumeratedOctober 13, 2006
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 566417, Miami, FL 33256-6417

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