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

EDUARDO DE JESUS PINO DOMENECH MD
NPI 1649893256
Internal Medicine - Critical Care Medicine in Fayetteville, NC

Q: What is Eduardo Pino Domenech's NPI number?

The NPI number for Eduardo Pino Domenech is 1649893256. It was assigned to this individual provider in the NPPES registry on May 19, 2020.

Q: What is Eduardo Pino Domenech's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Active since May 19, 2020

1638 OWEN DR, FAYETTEVILLE, NC 28304(910) 615-7392(910) 615-7633 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 29, 2026, May 19, 2020 (2 updates tracked since 2020).

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About Eduardo De Jesus Pino Domenech Md NPPES

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

EDUARDO DE JESUS PINO DOMENECH MD (NPI 1649893256) is an individual critical care medicine provider in Fayetteville, North Carolina, licensed in North Carolina (2026-03521) and active in the NPI registry since May 2020. He maintains a secondary practice location in Bronx.

NPPES Registry Identity

NPI1649893256

Entity TypeIndividualMale

Primary Taxonomy207RC0200X

Provider Legal NameEDUARDO DE JESUS PINO DOMENECHCredential: MD

Location Address1638 OWEN DRFayetteville, NC 28304-3424

Mailing Address29 Meadow Farm Apt 6North Chili, NY 14514-1370 · (585) 642-2032

Phone(910) 615-7392

Fax(910) 615-7633

Sole ProprietorYes

Enumeration DateMay 19, 2020

Last NPPES UpdateJuly 29, 20262 updates tracked since enumeration

NPPES CertifiedJuly 29, 2026

✔ NPI 1649893256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RC0200X

License✔ Licensed in NC · 2026-03521

Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedInternal MedicineTaxonomy 207R00000X · License 2026-03521 (NC)

Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X · License 2026-03521 (NC)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1638 OWEN DR, Fayetteville, NC 28304

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Secondary Practice Location 1

Location 14422 3rd AveBronx, NY 10457-2545 · Phone (718) 960-9000

Other Providers at the Same Location NPPES 20

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

MR. KEVIN TRAVIS WORTH CRNA

Nurse Anesthetist, Certified Registered