Individual provider Active NPI

Ruber Isaac Moreno Viguera, FAMILY NP

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1619642279
Registry record updated Aug 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11012766 Issued in FL
Practice address
9376 SW 166TH CT
Miami, FL 33196-4873
Phone
(786) 357-9446
NPI assigned
Aug 14, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2021

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 APRN11012766 FL Primary

Addresses

Primary practice location

9376 SW 166TH CT
Miami, FL 33196-4873

Mailing address

9376 SW 166TH CT
Miami, FL 33196-4873
Phone (786) 357-9446

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11012766FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1628899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628899200000",
    "number": "1619642279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9376 SW 166TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331964873",
            "telephone_number": "786-357-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9376 SW 166TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331964873",
            "telephone_number": "786-357-9446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO VIGUERA",
        "first_name": "RUBER",
        "middle_name": "ISAAC",
        "credential": "FAMILY NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-14",
        "last_updated": "2021-08-14",
        "certification_date": "2021-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11012766",
            "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 Aug 14, 2021; 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.