Individual provider Active NPI

Jaynier Moya, MD

  • Internal Medicine Physician
  • Pembroke Pines, FL
National Provider Identifier
1124288980
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME100453 Issued in FL
Practice address
1460 S Palm Ave
Pembroke Pines, FL 33025-5520
Phone
(954) 239-7486
Fax
(954) 376-7289
NPI assigned
Jun 14, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME100453 FL Primary

Addresses

Primary practice location

1460 S Palm Ave
Pembroke Pines, FL 33025-5520

Mailing address

1460 S Palm Ave
Pembroke Pines, FL 33025-5520
Phone (954) 239-7486

Other practice location 1

15200 S Tamiami Trl Ste 116
Fort Myers, FL 33908-4235
Phone (954) 239-7486

Other practice location 2

711 NW 21St CT
Miami, FL 33125
Phone (305) 888-6959

Other practice location 3

7911 NW 72nd Ave Ste 111
Medley, FL 33166-2221
Phone (305) 888-6959

Other identifiers 1

IdentifierTypeStateIssuer
104634000MedicaidFL

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
I20080827000737 FL Practitioner - Internal Medicine 9537235585 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME100453FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pride Care Center Inc Past Accepting new patients
Hospitalist M D Associates LLC Internal Medicine Past Accepting new patients
Moya-Prida MD Internal Medicine PastSince Dec 7, 2025 Accepting new patients

Interoperability endpoints

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

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1213401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1124288980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 S PALM AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330255520",
            "telephone_number": "954-239-7486",
            "fax_number": "954-376-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 S PALM AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330255520",
            "telephone_number": "954-239-7486",
            "fax_number": "954-376-7289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15200 S Tamiami Trl Ste 116",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339084235",
            "country_code": "US",
            "telephone_number": "954-239-7486",
            "fax_number": "954-376-7289",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "711 NW 21ST CT",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "33125",
            "country_code": "US",
            "telephone_number": "305-888-6959",
            "fax_number": "954-376-7289",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7911 NW 72nd Ave Ste 111",
            "address_purpose": "LOCATION",
            "city": "Medley",
            "state": "FL",
            "postal_code": "331662221",
            "country_code": "US",
            "telephone_number": "305-888-6959",
            "fax_number": "954-376-7289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOYA",
        "first_name": "JAYNIER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-14",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME100453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104634000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.