NPIMap

Organization Active NPI

Monica Moreno MD PA

  • Specialist
  • Pembroke Pines, FL
National Provider Identifier
1144536616
Registry record updated Aug 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME96209 Issued in FL
Legal business name
MONICA MORENO MD PA
Practice address
601 N Flamingo Rd
Pembroke Pines, FL 33028-1015
Phone
(305) 299-8153
NPI assigned
Aug 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2010

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

Authorized official

Name
Dr. Monica Moreno, M.D
Title
Doctor
Phone
(305) 299-8153

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME96209 FL Primary

Addresses

Primary practice location

601 N Flamingo Rd
Pembroke Pines, FL 33028-1015

Mailing address

360 SW 190TH Ave
Pembroke Pines, FL 33029-5442
Phone (305) 299-8153

Other identifiers 1

IdentifierTypeStateIssuer
ME96209OtherFLMEDICAL LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1282521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282521600000",
    "number": "1144536616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 SW 190TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330295442",
            "telephone_number": "305-299-8153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N FLAMINGO RD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281015",
            "telephone_number": "305-299-8153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONICA MORENO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-23",
        "last_updated": "2010-08-23",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "305-299-8153",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME96209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME96209",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; 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.