Jorge Camilo Mora, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME98131 Issued in FL

Practice address

501 NW 179TH Ave
Pembroke Pines, FL 33029-2807

Phone

(954) 442-2828

Fax

(954) 442-3366

NPI assigned

Jun 1, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Yaneth Trujillo MD.PAGroup PAC ID 1951449784, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EHDBCA/Endpoint/EHDBCA

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.

• Yaneth Trujillo MD.PA

  • Primary Care Clinic/Center
  • Weston, FL
  • NPI 1093951196
  Medicare reassignment Care Compare group
• Rheumatology Medical Center LLC

  • Rheumatology Physician
  • Weston, FL
  • NPI 1588255392
  NPD (past)
• Sky Lab Diagnostic Center LLC

  • Clinical Medical Laboratory
  • Coral Springs, FL
  • NPI 1922718154
  NPD (past)

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395273600000",
    "number": "1114129210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 NW 179TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330292807",
            "telephone_number": "954-442-2828",
            "fax_number": "954-442-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 NW 179TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330292807",
            "telephone_number": "954-442-2828",
            "fax_number": "954-442-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORA",
        "first_name": "JORGE",
        "middle_name": "CAMILO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2014-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME98131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279110200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katiuska Mora Arias
• Yubmilia Mora Arias
• Iris Mora Tejeda, APRN
• Sandra Mora-Viera, DOM, MD (COLOMBIA)
• Evelyn Mora, PT
• Mardy Lorena Mora
• Yahoha Mora
• Edgar Othmaro Morales Arteaga, MD
• Lisset Morales Reyes
• Annemarie Morales, LCSW

• Family Medicine Physician in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; 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.

Verify at the official NPI Registry.