Individual provider Active NPI

Elba Mora, MD

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1710922133
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME56855 Issued in FL
Practice address
1840 W 49TH St
Suite 516
Miami, FL 33012-2942
Phone
(305) 556-1998
Fax
(305) 558-9812
NPI assigned
Jun 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME56855 FL Primary

Addresses

Primary practice location

1840 W 49TH St
Suite 516
Miami, FL 33012-2942

Mailing address

1840 W 49TH St
Suite 516
Miami, FL 33012-2942
Phone (305) 556-1998

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
I20110114000692 FL Practitioner - General Practice 4284823691 Practice locations: Hialeah, FL

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1840 W 49TH St
Suite 516
Hialeah, FL 33012-2950
Phone (305) 556-1998

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Elba Mora MD PA General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318809600000",
    "number": "1710922133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 W 49TH ST",
            "address_2": "SUITE 516",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "330122942",
            "telephone_number": "305-556-1998",
            "fax_number": "305-558-9812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 W 49TH ST",
            "address_2": "SUITE 516",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "330122942",
            "telephone_number": "305-556-1998",
            "fax_number": "305-558-9812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORA",
        "first_name": "ELBA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2011-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME56855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.