Active NPI
Carlos A Moran Martinez
- Nurse Practitioner
- Miami, FL
National Provider Identifier
1174830210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN11002480
- Practice address
- 15955 SW 96TH St Ste 102
Miami, FL 33196-1272 - Phone
- (305) 271-9777
- Fax
- (786) 533-9383
- NPI assigned
- Sep 10, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 | APRN11002480 | FL | Primary |
Addresses
Primary practice location
15955 SW 96TH St Ste 102
Miami, FL 33196-1272
Mailing address
1048 SW 124TH Ave
Miami, FL 33184-2465
Phone (786) 307-7875
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 98.99 of 100
- Quality
- 81.94
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11002480 | FL | MD | Nurse Practitioner |
Interoperability endpoints
- carlosm@cerner.directbaptisthealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728864000000",
"number": "1174830210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1048 SW 124TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331842465",
"telephone_number": "786-307-7875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15955 SW 96TH ST STE 102",
"city": "MIAMI",
"state": "FL",
"postal_code": "331961272",
"telephone_number": "305-271-9777",
"fax_number": "786-533-9383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAN MARTINEZ",
"first_name": "CARLOS",
"middle_name": "A",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-09-10",
"last_updated": "2024-10-14",
"certification_date": "2024-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11002480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.