Sandra Moore

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN5145582 Issued in FL

Practice address

130 Preserve Dr
Royal Palm Beach, FL 33411-1569

Phone

(561) 333-7660

NPI assigned

Mar 24, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023135886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 PRESERVE DR",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334111569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 PRESERVE DR",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334111569",
            "telephone_number": "561-333-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SANDRA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5145582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Montesol Medical Centers LLC
• Harvey Montijo, M.D.
• Christina Montoya, OTR
• Liliana Montoya, ACAGNP-BC
• Amy M. Moore, LMHC
• Patrick Edward Mora
• Yoko Priscila Mora
• Ivo Moraguez, D.M.D.
• Michael Ryan Moraguez, DMD
• Monica I Morales

• Licensed Practical Nurse in Royal Palm Beach, FL
• Providers in Royal Palm Beach, FL by specialty
• Licensed Practical Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.