Active NPI
Adlih Moreno-Coll, MD
- Family Medicine Physician
- Hollywood, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME127351
- Practice address
- 1740 Sheridan St
Hollywood, FL 33020-2275 - Phone
- (954) 276-1565
- Fax
- (954) 927-0945
- NPI assigned
- Apr 4, 2007
- Last updated
- Mar 23, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 200801733 | NC | |
| Family Medicine Physician | 207Q00000X | ME127351 | FL | Primary |
Addresses
Primary practice location
1740 Sheridan St
Hollywood, FL 33020-2275
Mailing address
2900 Corporate Way
Door D
Miramar, FL 33025-3925
Phone (954) 276-5685
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | amorenocoll221951@MHSDIRECT.NET | Direct |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16620 Sheridan St
Fort Lauderdale, FL 33331-4128
Phone (954) 265-3451
1740 Sheridan St
Hollywood, FL 33020-2275
Phone (954) 276-1565
8665 NW 186TH St
Memorial Urgent Care Center Miami
Hialeah, FL 33015-2553
Phone (305) 682-2626
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME127351 | FL | MD | Family Medicine Physician |
| 200801733 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holy Cross Urgent Care | Current | Accepting new patients | |
| South Broward Hospital District | Current | Accepting new patients |
Locations
3481 N University Dr
Coral Springs, FL 33065
Phone (954) 229-8634
1115 S Federal Hwy
Ft Lauderdale, FL 33316
Phone (954) 764-6646
8665 NW 186th St
Hialeah, FL 33015
Phone (305) 682-2626
1740 Sheridan St
Hollywood, FL 33020
Phone (954) 265-3451
2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581
Interoperability endpoints
- amorenocoll221951@mhsdirect.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Memorial Urgent Care Center
- Urgent Care Clinic/Center
- Fort Lauderdale, FL
- NPI 1457899684
-
- Urgent Care Clinic/Center
- Fort Lauderdale, FL
- NPI 1144824699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616457600000",
"number": "1609998244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 CORPORATE WAY",
"address_2": "DOOR D",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330253925",
"telephone_number": "954-276-5685",
"fax_number": "954-985-7074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1740 SHERIDAN ST",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330202275",
"telephone_number": "954-276-1565",
"fax_number": "954-927-0945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORENO-COLL",
"first_name": "ADLIH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-04",
"last_updated": "2021-03-23",
"certification_date": "2021-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "200801733",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME127351",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amorenocoll221951@MHSDIRECT.NET",
"affiliation": "N",
"endpointDescription": "MHS DSM",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1740 Sheridan St",
"city": "Hollywood",
"state": "FL",
"country_code": "US",
"postal_code": "330202275",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.