Individual provider Active NPI

Odalys Cutino de Moya

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1437857802
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11024202 Issued in FL
Practice address
15250 SW 45 Ter, Unit G
Unit G
Miami, FL 33185
Phone
(786) 860-0554
NPI assigned
Feb 15, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X APRN11024202 FL Primary

Addresses

Primary practice location

15250 SW 45 Ter, Unit G
Unit G
Miami, FL 33185

Mailing address

15250 SW 45 Ter, Unit G
Unit G
Miami, FL 33185
Phone (786) 860-0554

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

State licenses

LicenseStateTypeSpecialty
APRN11024202FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1437857802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15250 SW 45 TER, UNIT G",
            "address_2": "UNIT G",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33185",
            "telephone_number": "786-860-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15250 SW 45 TER, UNIT G",
            "address_2": "UNIT G",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33185",
            "telephone_number": "786-860-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUTINO DE MOYA",
        "first_name": "ODALYS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11024202",
            "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 Feb 15, 2023; 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.