Niberto a Moreno MD PLLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

ME105336 Issued in FL

Legal business name

NIBERTO A MORENO MD PLLC

Practice address

9195 SW 72ND St Ste 200
Miami, FL 33173-3488

Phone

(305) 775-9839

NPI assigned

May 20, 2016

Organization subpart

No

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

Authorized official

Name

Niberto Angel Moreno, MD

Title

Owner

Phone

(305) 775-9839

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Networks

• HealthSun Health Plans Network

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

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572220800000",
    "number": "1174970073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9195 SW 72ND ST STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733488",
            "telephone_number": "305-775-9839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9195 SW 72ND ST STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733488",
            "telephone_number": "305-775-9839"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8525 SW 92nd St",
            "address_2": "SUITE A1",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331567365",
            "country_code": "US",
            "telephone_number": "305-775-9839",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7000 SW 79th Ct Ste 102",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331432608",
            "country_code": "US",
            "telephone_number": "305-412-0998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NIBERTO A MORENO MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-20",
        "last_updated": "2019-10-28",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "NIBERTO",
        "authorized_official_middle_name": "ANGEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-775-9839",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME105336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME105336",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Cardiovascular Disease Physician in Miami, FL
• Providers in Miami, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; 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.