Individual provider Active NPI

Orlando C. Moreno, M.D.

  • Adult Medicine Physician
  • Hialeah, FL
National Provider Identifier
1003874454
Registry record updated Feb 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
ME90254 Issued in FL
Practice address
4835 E 4TH Ave
Suite B
Hialeah, FL 33013-1814
Phone
(786) 431-1376
Fax
(786) 431-1377
NPI assigned
May 3, 2006
Last updated
Feb 10, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X ME90254 FL Primary

Addresses

Primary practice location

4835 E 4TH Ave
Suite B
Hialeah, FL 33013-1814

Mailing address

16415 Dunoon CT
Miami Lakes, FL 33014-6047
Phone (305) 820-0704

Other identifiers 1

IdentifierTypeStateIssuer
268599000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040819000982 FL Practitioner - General Practice 5991779688 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando C. Moreno, M.D. P.a. Adult Medicine CurrentSince Apr 25, 2005 Accepting new patients
Mendoza Medical Center Corp Adult Medicine CurrentSince Feb 5, 2025 Accepting new patients
Vega Health Center Inc PastSince May 8, 2022 Accepting new patients
American Technical Academy Group Corp Past Accepting new patients
Med - Care Clinic Inc Past Accepting new patients
Anesthesia Consultants of South Florida Inc Past Accepting new patients
Medcare Clinic LLC Past Accepting new patients

Locations

4835 E 4th Ave
#B
Hialeah, FL 33013
Phone (786) 431-1376

14324 SW 264th St
Unit 400
Homestead, FL 33032
Phone (305) 562-9824

Interoperability endpoints

  • Direct secure messaging: wghomoren@yourcarecommunity.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234224000000",
    "number": "1003874454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16415 DUNOON CT",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330146047",
            "telephone_number": "305-820-0704",
            "fax_number": "305-698-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4835 E 4TH AVE",
            "address_2": "SUITE B",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330131814",
            "telephone_number": "786-431-1376",
            "fax_number": "786-431-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "ORLANDO",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2009-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "ME90254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268599000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.