Organization Active NPI

Moya-Prida MD

Doing business as Moya Medical of Fort Myers

  • Multi-Specialty Clinic/Center
  • Fort Myers, FL
National Provider Identifier
1609739721
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
MOYA-PRIDA MD
Doing business as
Moya Medical of Fort Myers
Practice address
15200 S Tamiami TRL Ste 116
Fort Myers, FL 33908-4235
Phone
(954) 239-7486
Fax
(954) 376-7289
NPI assigned
Dec 5, 2025
Organization subpart
Yes
Parent organization
MOYA-PRIDA MDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Authorized official

Name
Jaynier Moya, MDNPI 1124288980
Title
President
Phone
(954) 239-7486

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Multi-Specialty Clinic/Center 261QM1300X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

15200 S Tamiami TRL Ste 116
Fort Myers, FL 33908-4235

Mailing address

1460 S Palm Ave
Pembroke Pines, FL 33025-5520
Phone (954) 239-7486

Other identifiers 1

IdentifierTypeStateIssuer
001058800MedicaidFL

Other names 1

  • Moya Medical of Fort Myers Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Moya-Prida MD4 organizations share this tax ID, including this one
Part of
Moya-Prida MD

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1460 S Palm Ave
Pembroke Pines, FL 33025
Phone (305) 888-6959

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1764892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764892800000",
    "number": "1609739721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 S PALM AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330255520",
            "telephone_number": "954-239-7486",
            "fax_number": "954-376-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 S TAMIAMI TRL STE 116",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339084235",
            "telephone_number": "954-239-7486",
            "fax_number": "954-376-7289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOYA-PRIDA MD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOYA-PRIDA MD",
        "enumeration_date": "2025-12-05",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A",
        "authorized_official_last_name": "MOYA",
        "authorized_official_first_name": "JAYNIER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-239-7486",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001058800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moya Medical of Fort Myers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; 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.