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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANDRES MANUEL DORADO NICO PA
NPI 1619795143
Physician Assistant - Medical in Homestead, FL

Active since October 02, 2024PECOS Enrolled
974 OLD DIXIE HWY STE A, HOMESTEAD, FL 33030(305) 845-1655(305) 845-1641 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 23, 2024, Nov 12, 2024, Oct 3, 2024 (3 updates tracked since 2024).

About Andres Manuel Dorado Nico Pa NPPES

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

ANDRES MANUEL DORADO NICO PA (NPI 1619795143) is an individual medical provider in Homestead, Florida, licensed in Florida (PACN72) and active in the NPI registry since October 2024. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1619795143
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameANDRES MANUEL DORADO NICOCredential: PA
Location Address974 OLD DIXIE HWY STE AHomestead, FL 33030-4933
Mailing Address6340 Sw 149th CtMiami, FL 33193-2796 · (786) 412-5731 · Fax (305) 274-5320
Phone(305) 845-1655
Fax(305) 845-1641
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 2, 2024
Last NPPES UpdateJune 22, 20263 updates tracked since enumeration
NPPES CertifiedJune 22, 2026
✔ NPI 1619795143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses✔ Licensed in FL · PACN72✔ Licensed in PR · 2305
Also ListedBehavior TechnicianTaxonomy 106S00000X · License RBT-24-392034 (FL)
974 OLD DIXIE HWY STE A, Homestead, FL 33030
Open in Google Maps ↗

Secondary Practice Locations 4

Location 12390 NW 7th StMiami, FL 33125-3226 · Phone (305) 274-5319 · Fax (305) 274-5319
Location 29495 SW 72nd St Ste B180Miami, FL 33173-5424 · Phone (305) 274-5319 · Fax (305) 274-5320
Location 31525 NW 3rd AveMiami, FL 33136-1807 · Phone (305) 723-9102 · Fax (305) 723-9178
Location 418300 NW 62nd AveHialeah, FL 33015-8200 · Phone (305) 290-7722 · Fax (305) 290-5377

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andres Manuel Dorado Nico Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2365947827
PECOS Enrollment IDI20250925000980
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.

Other Providers at the Same Location NPPES 2

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

VA PHYSICAL REHABILITATION CORP
Clinic/Center (Multi-Specialty)
974 OLD DIXIE HWY STE A
HOMESTEAD, FL 33030
Miami-Dade County (305) 778-6071
DOCTORS UNITED GROUP INC
Clinic/Center
974 OLD DIXIE HWY STE A
HOMESTEAD, FL 33030
Miami-Dade County (866) 745-8049

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 Andres Dorado Nico's NPI number?

The NPI number for Andres Dorado Nico is 1619795143. It was assigned to this individual provider in the NPPES registry on October 2, 2024.

Where is Andres Dorado Nico located?

Andres Dorado Nico practices at 974 Old Dixie Hwy Ste A, Homestead, FL 33030. The listed phone number is (305) 845-1655.

What is Andres Dorado Nico's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Andres Dorado Nico enrolled in Medicare?

Yes. Andres Dorado Nico is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andres Dorado Nico was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.