Organization Active NPI

Morenos Medical Centers LLC

  • Internal Medicine Physician
  • Celebration, FL
National Provider Identifier
1679299150
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MORENOS MEDICAL CENTERS LLC
Practice address
2940 Mallory Cir Ste 202
Celebration, FL 34747-1818
Phone
(407) 269-8550
Fax
(407) 288-1010
NPI assigned
Oct 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

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

Authorized official

Name
Keiler Moreno Rivero, MDNPI 1659780625
Title
Administrator
Phone
(407) 269-8550

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2940 Mallory Cir Ste 202
Celebration, FL 34747-1818

Mailing address

2940 Mallory Cir Ste 202
Celebration, FL 34747-1818
Phone (407) 269-8550

National Provider Directory

National Provider Directory

Locations

2940 Mallory Cir
Ste 202
Kissimmee, FL 34747
Phone (407) 269-8550

Practitioners & affiliated clinicians

Practitioners 1

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": "1665964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665964800000",
    "number": "1679299150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 MALLORY CIR STE 202",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347471818",
            "telephone_number": "407-269-8550",
            "fax_number": "407-288-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 MALLORY CIR STE 202",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347471818",
            "telephone_number": "407-269-8550",
            "fax_number": "407-288-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORENOS MEDICAL CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-17",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-16",
        "status": "A",
        "authorized_official_last_name": "MORENO RIVERO",
        "authorized_official_first_name": "KEILER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-269-8550",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Celebration, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; 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.