Individual provider Active NPI

Jose Manuel Moya de Armas, FNP-C

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1558082156
Registry record updated Mar 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11022286 Issued in FL
Practice address
13306 SW 128TH St
Miami, FL 33186-5899
Phone
(305) 424-9060
Fax
(305) 363-4412
NPI assigned
Sep 12, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 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 Practitioner 363LF0000X 11022286 FL Primary

Addresses

Primary practice location

13306 SW 128TH St
Miami, FL 33186-5899

Mailing address

13306 SW 128TH St
Miami, FL 33186-5899
Phone (305) 424-9060

Other identifiers 2

IdentifierTypeStateIssuer
11022286OtherFLFAMILY NURSE PRACTITIONER
RN9530091OtherFLRN

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
I20230330001302 FL Practitioner - Nurse Practitioner 3476927658 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11022286FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Moya Care Corp Family CurrentSince Feb 22, 2023 Accepting new patients
Vidal Healthcare Center CurrentSince Jul 29, 2025 Accepting new patients
WK Medical Center Corp Past Accepting new patients
New Beginnings Medical and Rehabilitation Center Inc Past Accepting new patients

Organizations & group practices 4

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": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679097600000",
    "number": "1558082156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13306 SW 128TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865899",
            "telephone_number": "305-424-9060",
            "fax_number": "305-363-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13306 SW 128TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865899",
            "telephone_number": "305-424-9060",
            "fax_number": "305-363-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYA DE ARMAS",
        "first_name": "JOSE",
        "middle_name": "MANUEL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-12",
        "last_updated": "2023-03-18",
        "certification_date": "2023-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11022286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY NURSE PRACTITIONER",
            "identifier": "11022286",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "RN9530091",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.