Individual provider Active NPI

Milko Restituto Moriyon, MSN,ARNP,FNP

  • Primary Care Nurse Practitioner
  • Miami, FL
National Provider Identifier
1356733877
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
ARNP9295213 Issued in FL
Practice address
2995 SW 110TH Ave
Miami, FL 33165-2335
Phone
(786) 239-2051
Fax
(305) 551-2898
NPI assigned
Feb 20, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 9295213 FL
Primary Care Nurse Practitioner 363LP2300X ARNP9295213 FL Primary

Addresses

Primary practice location

2995 SW 110TH Ave
Miami, FL 33165-2335

Mailing address

2995 SW 110TH Ave
Miami, FL 33165-2335
Phone (786) 239-2051

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151123000799 FL Practitioner - Nurse Practitioner 4981904026 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9295213FLMDAdult Psychiatric/Mental Health Registered Nurse
ARNP9295213FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Avila Health Group LLC Past Accepting new patients
Suncare Medical Center LLC Past Accepting new patients

Organizations & group practices 2

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": "1424390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1356733877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2995 SW 110TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652335",
            "telephone_number": "786-239-2051",
            "fax_number": "305-551-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2995 SW 110TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652335",
            "telephone_number": "786-239-2051",
            "fax_number": "305-551-2898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORIYON",
        "first_name": "MILKO",
        "middle_name": "RESTITUTO",
        "credential": "MSN,ARNP,FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-20",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "FL",
            "license": "9295213",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "ARNP9295213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.