Individual provider Active NPI

William Victoria Morales, SA-C

  • Surgical Assistant
  • Miramar, FL
National Provider Identifier
1437997475
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
24-195 Issued in FL
Practice address
11851 SW 42ND PL Unit 313
Miramar, FL 33025-8071
Phone
(754) 324-0718
NPI assigned
Jul 15, 2024
Last updated
Jul 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 24-195 FL Primary

Addresses

Primary practice location

11851 SW 42ND PL Unit 313
Miramar, FL 33025-8071

Mailing address

11851 SW 42ND PL Unit 313
Miramar, FL 33025-8071
Phone (754) 324-0718

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
24-195FLMDSurgical Assistant

NPI Registry JSON

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1437997475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11851 SW 42ND PL UNIT 313",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330258071",
            "telephone_number": "754-324-0718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11851 SW 42ND PL UNIT 313",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330258071",
            "telephone_number": "754-324-0718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICTORIA MORALES",
        "first_name": "WILLIAM",
        "credential": "SA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "FL",
            "license": "24-195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.