MR. MITDAEL MORENO (NPI# 1013432798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013432798 |
| Entity Type | Individual |
| Full Name | MR. MITDAEL MORENO |
| Credential | APRN |
| Practice Address |
743 Ne 167th St North Miami Beach FL 33162-2404 |
| Mailing Address |
6100 Blue Lagoon Dr Ste 365 Miami FL 33126-7010 |
| Practice Telephone | 3079570017 |
| Mailing Telephone | 7863227333 |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2019-02-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9292469 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 20770 Sw 129 Pl, Miami, FL 33177 | 3057219474 | 3057219474 |
| Street Address |
743 NE 167TH ST |
| City | NORTH MIAMI BEACH |
| State | FL |
| Zip Code | 33162-2404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578844106 | Access Medical Group of North Miami Beach Inc | General Practice | 743 Ne 167th St, North Miami Beach, FL 33162-4931 | 2011-09-09 |
| 1306321955 | Merlyn Rodriguez | Nurse Practitioner | 743 Ne 167th St, North Miami Beach, FL 33162-2404 | 2018-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326649781 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 930 North Miami Beach Blvd, North Miami Beach, FL 33162 | 2020-11-03 |
| 1336750801 | Asure Wound Solutions LLC | Durable Medical Equipment & Medical Supplies | 1202 Northeast 176th Street, North Miami Beach, FL 33162 | 2020-08-10 |
| 1790301117 | Sherleene Monbrun | Assistant Behavior Analyst | 16201 Ne, North Miami Beach, FL 33162 | 2020-06-22 |
| 1659939692 | Drubi Dental | Dentist | 18140 Ne 19th Ave, North Miami Beach, FL 33162 | 2019-06-04 |
| 1003389297 | Courtney Just | Specialist/Technologist | 16821 N.e. 6th Avenue, North Miami Beach, FL 33162 | 2019-01-10 |
| 1508338039 | Li Huang Kruszka | Nurse Practitioner | 16260 Ne13 Ave, North Miami Beach, FL 33162 | 2018-12-21 |
| 1194209577 | Batia Kramer | Homemaker | 2040 Ne 163rd Street, Suite 202e, Suite 202e, North Miami Beach, FL 33162 | 2018-09-20 |
| 1346734241 | Karan Rajpal | Physician Assistant | 18100 Ne 19th Ave Ste 102, North Miami Beach, FL 33162 | 2018-06-14 |
| 1265937528 | Brace Plus LLC | Durable Medical Equipment & Medical Supplies | 16770 Ne 5th Ave, North Miami Beach, FL 33162 | 2018-03-28 |
| 1851894315 | Youth and You, Inc | Clinic/Center | 2020 Ne 163rd Street Suite 203, N Miami Beach, FL 33162 | 2018-03-12 |
| Find all providers in zip 33162 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891303350 | Estela Otiniano | Nurse Practitioner | 18360 Ne 21st Pl, North Miami Beach, FL 33179-5026 | 2020-07-21 |
| 1154947513 | Vitalia Neiman | Nurse Practitioner | 16448 Ne 26th Ave, North Miami Beach, FL 33160-4064 | 2020-06-22 |
| 1063032753 | Marie Brice | Nurse Practitioner | 1235 Ne 157th St, North Miami Beach, FL 33162-5541 | 2020-04-22 |
| 1700405537 | Ayessha Susana Schiffini Perez | Nurse Practitioner | 17300 Ne 23rd Ave, North Miami Beach, FL 33160-2913 | 2020-04-12 |
| 1043858434 | Sergo Colin | Nurse Practitioner | 1665 Ne 159th St, North Miami Beach, FL 33162-4739 | 2019-12-16 |
| 1215579404 | Nympha Charles | Nurse Practitioner | 511 Ne 172nd St, North Miami Beach, FL 33162-3945 | 2019-10-09 |
| 1336603612 | Sergeline Benoit-bernier | Nurse Practitioner | 16800 Nw 2nd Ave # 400, North Miami Beach, FL 33169-5501 | 2019-01-30 |
| 1508338039 | Li Huang Kruszka | Nurse Practitioner | 16260 Ne13 Ave, North Miami Beach, FL 33162 | 2018-12-21 |
| 1750857173 | Leroy Desance | Nurse Practitioner | 821 Ne 207th Ln Apt 205, North Miami Beach, FL 33179-1921 | 2018-10-24 |
| 1134639321 | Kristin Taylor Oakes | Nurse Practitioner | 152 Ne 167th St Ste 200, North Miami Beach, FL 33162-3400 | 2017-10-03 |
| Find all providers in NORTH MIAMI BEACH | ||||
| City | NORTH MIAMI BEACH |
| Zip Code | 33162 |
Please comment or provide details below to improve the information on MR. MITDAEL MORENO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.