Individual provider Active NPI

Fermin Esteban Morales, M.D.

  • Surgery Physician
  • Fort Lauderdale, FL
National Provider Identifier
1275706459
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD434037 Issued in PA
Practice address
4701 N Federal Hwy Ste A39
Fort Lauderdale, FL 33308-4608
Phone
(954) 351-7770
Fax
(954) 351-7181
NPI assigned
Apr 8, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD434037 PA Primary

Addresses

Primary practice location

4701 N Federal Hwy Ste A39
Fort Lauderdale, FL 33308-4608

Mailing address

4701 N Federal Hwy Ste A39
Fort Lauderdale, FL 33308-4608
Phone (954) 351-7770

Other practice location 1

372 W 47th St
Hialeah, FL 33012-3950
Phone (305) 698-0112

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
I20120717000470 FL Practitioner - General Surgery 6103986641 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ortavera Corporation Surgery CurrentSince Mar 19, 2024 Accepting new patients

Locations

13500 SW 88th St
Ste 215
Miami, FL 33186
Phone (305) 261-3777

13500 SW 88th St
Ste 211
Miami, FL 33186
Phone (786) 873-7807

Organizations & group practices 1

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": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1275706459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 N FEDERAL HWY STE A39",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084608",
            "telephone_number": "954-351-7770",
            "fax_number": "954-351-7181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 N FEDERAL HWY STE A39",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084608",
            "telephone_number": "954-351-7770",
            "fax_number": "954-351-7181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "372 W 47th St",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330123950",
            "country_code": "US",
            "telephone_number": "305-698-0112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORALES",
        "first_name": "FERMIN",
        "middle_name": "ESTEBAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-08",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD434037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.