Evelin Moreno

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

21-434 Issued in WI

Practice address

1001 Colony Point Circle
Apartment 314 Building 5
Pembroke Pines, FL 33026

Phone

(754) 217-0977

NPI assigned

Jul 27, 2021

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1376216242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 COLONY POINT CIRCLE",
            "address_2": "APARTMENT 314 BUILDING 5",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33026",
            "telephone_number": "754-217-0977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 COLONY POINT CIRCLE",
            "address_2": "APARTMENT 314 BUILDING 5",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33026",
            "telephone_number": "754-217-0977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "EVELIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WI",
            "license": "21-434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelitta Morency
• Elvis Moreno Acanda
• Yoanny Moreno Alvarez, COTA
• Mario I Moreno Godoy
• Yivenne Moreno Raad, CBHCM
• Isibel Cristimar Moreno, PHD
• Jenny C Moreno, D.M.D.
• Juanita Herlinda Moreno, PH.D.
• Sarah Marcela Moreno
• Stephanie Owen Moreno, LMFT, ATR-BC

• Student in an Organized Health Care Education/Training Program in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Student in an Organized Health Care Education/Training Program in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; 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.