Individual provider Active NPI

Orlando Moreno, MD

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1285946020
Registry record updated Nov 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
NJDCATEMP-006339 Issued in NJ
Practice address
1501 Biscayne Blvd Ste 200
Miami, FL 33132-1461
Phone
(786) 652-2451
NPI assigned
Jul 9, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 332-PA PR
Medical Physician Assistant 363AM0700X 332-PA PR
General Practice Physician 208D00000X NJDCATEMP-006339 NJ Primary

Addresses

Primary practice location

1501 Biscayne Blvd Ste 200
Miami, FL 33132-1461

Mailing address

1764 SW 155TH PL
Miami, FL 33185-4230
Phone (786) 343-6937

Other practice location 1

1764 SW 155th Pl
Miami, FL 33185-4230
Phone (786) 343-6937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
NJDCATEMP-006339NJMDGeneral Practice Physician
332-PAPRMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Miami Behavioral Health Center Inc Social Worker Past Accepting new patients

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": "1278633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606608000000",
    "number": "1285946020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1764 SW 155TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331854230",
            "telephone_number": "786-343-6937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 BISCAYNE BLVD STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331321461",
            "telephone_number": "786-652-2451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1764 SW 155th Pl",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331854230",
            "country_code": "US",
            "telephone_number": "786-343-6937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORENO",
        "first_name": "ORLANDO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-09",
        "last_updated": "2020-11-29",
        "certification_date": "2020-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PR",
            "license": "332-PA",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PR",
            "license": "332-PA",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NJ",
            "license": "NJDCATEMP-006339",
            "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 Nov 29, 2020; 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.