Individual provider Active NPI

Moises L Sebastian, MD

  • General Practice Physician
  • West Palm Beach, FL
National Provider Identifier
1346868734
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1520 Issued in FL
Practice address
4477 Medical Center Way Ste a
West Palm Beach, FL 33407-3257
Phone
(561) 781-8060
Fax
(561) 781-8066
NPI assigned
Jul 11, 2020
Last updated
May 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 021861 PR
General Practice Physician 208D00000X ACN1520 FL Primary

Addresses

Primary practice location

4477 Medical Center Way Ste a
West Palm Beach, FL 33407-3257

Mailing address

PO Box 4189
Deerfield Beach, FL 33442-4189
Phone (954) 363-9582

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210511003079 PR Practitioner - General Practice 7113342478 Reassigns benefits to 4 organizations
I20230516003351 FL Practitioner - General Practice 7113342478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12977 Southern Blvd
Suite 202
Loxahatchee, FL 33470-9256

15645 SW 90TH Terr
Miami, FL 33196-1161

403 S Sapodilla Ave Apt
Suite 812
West Palm Beach, FL 33401-5765

PO Box
Suite 4189
Deer Beach, FL 33442-4189

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ACN1520FLMDGeneral Practice Physician
021861PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salud Integral En la Montana, Inc General Practice CurrentSince Mar 17, 2021 Accepting new patients
Gsareen, LLC., CurrentSince Sep 27, 2025 Accepting new patients
Salud Integral En la Montana, Inc. CurrentSince Mar 17, 2021 Accepting new patients
Salud Integral En la Montana, Inc CurrentSince Mar 17, 2021 Accepting new patients
Salud Integral En la Montana, Inc CurrentSince Mar 17, 2021 Accepting new patients
Salud Integral En la Montana, Inc Current Accepting new patients

Locations

12977 Southern Blvd
Ste 202
Loxahatchee, FL 33470
Phone (561) 204-3620

156 Calle Barcelo
#53
Barranquitas, PR 00794
Phone (787) 857-2688

18 Calle Gerardo Nieves Mercado
Comerio, PR 00782

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1594425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1346868734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4189",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334424189",
            "telephone_number": "954-363-9582",
            "fax_number": "954-363-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4477 MEDICAL CENTER WAY STE A",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073257",
            "telephone_number": "561-781-8060",
            "fax_number": "561-781-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEBASTIAN",
        "first_name": "MOISES",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-11",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "021861",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.