Moonshine Research Center, Inc.

Primary specialty

Research Clinic/CenterTaxonomy code 261QR1100X

Legal business name

MOONSHINE RESEARCH CENTER, INC.

Practice address

8181 NW 36TH St
Suite 11
Doral, FL 33166-6671

Phone

(305) 463-9368

Fax

(305) 463-9369

NPI assigned

Mar 26, 2014

Last updated

Mar 26, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Ana Pimentel

Title

President

Phone

(305) 463-9368

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395792000000",
    "number": "1063839215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8181 NW 36TH ST",
            "address_2": "SUITE 11",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8181 NW 36TH ST",
            "address_2": "SUITE 11",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666671",
            "telephone_number": "305-463-9368",
            "fax_number": "305-463-9369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOONSHINE RESEARCH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-26",
        "last_updated": "2014-03-26",
        "status": "A",
        "authorized_official_last_name": "PIMENTEL",
        "authorized_official_first_name": "ANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-463-9368",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abel Javier Montiel, RRT
• Isailys Montiel, RPH
• Juan Emilio Montiel
• Claudia Montilla Barrera
• Adel Monzon, LMT
• Tommie Moore, RPH
• Elias Mora Kumboz, SA-C
• Axis Morales Fernandez, IMG, MSN, FNP - BC
• Anny Roselynn Morales Souquett, FNP
• Fermin Morales

• Research Clinic/Center in Doral, FL
• Providers in Doral, FL by specialty
• Research Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; 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.