Dagoberto Jesus Morales Olivera, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11022010 Issued in FL

Practice address

15700 NW 67TH Ave Ste 101
Miami Lakes, FL 33014-2112

Phone

(305) 621-8051

NPI assigned

Oct 17, 2022

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

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Leon Medical Centers LLCGroup PAC ID 9537066618, 108 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Leon Medical Centers LLC

  • Health Service Clinic/Center
  • Miami, FL
  • NPI 1376579839
  Medicare reassignment Care Compare group NPD
• The Clinicians, LLC

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1346669447
  Medicare reassignment NPD
• Travel Doctor, PL

  • Urgent Care Clinic/Center
  • Tampa, FL
  • NPI 1164842225
  Medicare reassignment NPD

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1235855644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 NW 135TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331822615",
            "telephone_number": "786-547-8394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15700 NW 67TH AVE STE 101",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142112",
            "telephone_number": "305-621-8051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES OLIVERA",
        "first_name": "DAGOBERTO",
        "middle_name": "JESUS",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-17",
        "last_updated": "2022-10-17",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11022010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francisco Jose Mora, M.D.
• Leticia Mora, FNP
• Moira Mora
• Arian Morales Carrillo, APRN
• Nathaly Morales Marin
• Adis Morales
• Ariadna Morales
• Milagros Marlen Morales
• Yilena Morales
• Moran & Mauri Eye Center PA

• Family Nurse Practitioner in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; 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.