Active NPI
Massiel Infante Moure, RDN, LDN
- Registered Dietitian
- Miami, FL
National Provider Identifier
1508685363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND11768
- Practice address
- 8305 Hammocks Blvd Apt 5114
Miami, FL 33193-4170 - Phone
- (239) 745-0393
- NPI assigned
- Oct 8, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | ND11768 | FL | Primary |
Addresses
Primary practice location
8305 Hammocks Blvd Apt 5114
Miami, FL 33193-4170
Mailing address
8305 Hammocks Blvd Apt 5114
Miami, FL 33193-4170
Phone (239) 745-0393
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
| License | State | Type | Specialty |
|---|---|---|---|
| ND11768 | FL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728345600000",
"number": "1508685363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8305 HAMMOCKS BLVD APT 5114",
"city": "MIAMI",
"state": "FL",
"postal_code": "331934170",
"telephone_number": "239-745-0393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8305 HAMMOCKS BLVD APT 5114",
"city": "MIAMI",
"state": "FL",
"postal_code": "331934170",
"telephone_number": "239-745-0393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INFANTE MOURE",
"first_name": "MASSIEL",
"credential": "RDN, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-08",
"last_updated": "2024-10-08",
"certification_date": "2024-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND11768",
"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 Oct 8, 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.