Active NPI
Gabriel Antonio Mora
- Nurse Practitioner
- Hialeah, FL
National Provider Identifier
1033808456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 11026061
- Practice address
- 1435 W 49TH PL Ste 305
Hialeah, FL 33012-3147 - Phone
- (305) 557-3600
- NPI assigned
- May 2, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 11026061 | FL | Primary |
Addresses
Primary practice location
1435 W 49TH PL Ste 305
Hialeah, FL 33012-3147
Mailing address
5240 SW 94TH Ave
Cooper City, FL 33328-4118
Phone (305) 709-7839
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2863 Executive Park Dr
Suite 106
Weston, FL 33331-3647
3100 SW 62ND Ave
Miami, FL 33155-3009
994 Shadyside LN
Weston, FL 33327-1855
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11026061 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Antonio Mora MD PA | Current | Accepting new patients |
Locations
1435 W 49th Pl
Ste 305
Hialeah, FL 33012
Phone (305) 556-9200
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Hialeah, FL
- NPI 1255580437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682985600000",
"number": "1033808456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5240 SW 94TH AVE",
"city": "COOPER CITY",
"state": "FL",
"postal_code": "333284118",
"telephone_number": "305-709-7839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1435 W 49TH PL STE 305",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330123147",
"telephone_number": "305-557-3600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORA",
"first_name": "GABRIEL",
"middle_name": "ANTONIO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-02",
"last_updated": "2023-05-02",
"certification_date": "2023-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "11026061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.