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RAFAEL PINEIRO APRN
NPI 1265805147
Family Medicine in Florida City, FL

Active since November 02, 2015PECOS Enrolled
1380 N KROME AVE STE 105, FLORIDA CITY, FL 33034(786) 556-8351(786) 504-2916 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 20, 2020, Jul 10, 2019, Jul 30, 2018 (3 updates tracked since 2018).

About Rafael Pineiro Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAFAEL PINEIRO APRN (NPI 1265805147) is an individual family medicine provider in Florida City, Florida, licensed in Florida (APRN9292639) and active in the NPI registry since November 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265805147
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRAFAEL PINEIROCredential: APRN
Location Address1380 N KROME AVE STE 105Florida City, FL 33034-2406
Mailing Address23438 Sw 108th AveHomestead, FL 33032-6289 · (786) 556-8351
Phone(786) 556-8351
Fax(786) 504-2916
Sole ProprietorYes
Enumeration DateNovember 2, 2015
Last NPPES UpdateJune 24, 20263 updates tracked since enumeration
NPPES CertifiedJune 24, 2026
✔ NPI 1265805147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · APRN9292639
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 9292639 (FL)
1380 N KROME AVE STE 105, Florida City, FL 33034
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rafael Pineiro Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33034 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

S & S OF KROME CORP
Clinic/Center
1380 N KROME AVE STE 105
FLORIDA CITY, FL 33034
Miami-Dade County (561) 669-3367

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rafael Pineiro's NPI number?

The NPI number for Rafael Pineiro is 1265805147. It was assigned to this individual provider in the NPPES registry on November 2, 2015.

Where is Rafael Pineiro located?

Rafael Pineiro practices at 1380 N Krome Ave Ste 105, Florida City, FL 33034. The listed phone number is (786) 556-8351.

What is Rafael Pineiro's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Rafael Pineiro enrolled in Medicare?

Yes. Rafael Pineiro is registered in the Medicare PECOS enrollment system.

What insurance does Rafael Pineiro accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list Rafael Pineiro as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rafael Pineiro was last updated on June 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.