Individual provider Active NPI

Adlih Moreno-Coll, MD

  • Family Medicine Physician
  • Hollywood, FL
National Provider Identifier
1609998244
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME127351 Issued in FL
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170125002900 FL Practitioner - Family Practice 0648304584 Reassigns benefits to 2 organizations

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
South Broward Hospital DistrictGroup PAC ID 8123927373, 659 clinicians

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

LicenseStateTypeSpecialty
ME127351FLMDFamily Medicine Physician
200801733NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Holy Cross Urgent Care CurrentSince Mar 31, 2021 Accepting new patients
South Broward Hospital District CurrentSince Jun 1, 2023 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.