Organization Active NPI

Moreira & Robles Internal Medicine Assoc LLC

  • Specialist
  • Cincinnati, OH
National Provider Identifier
1720104375
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35035367M Issued in OH
Legal business name
MOREIRA & ROBLES INTERNAL MEDICINE ASSOC LLC
Practice address
10495 Montgomery Rd
Suite 15
Cincinnati, OH 45242-4468
Phone
(513) 936-8900
Fax
(513) 936-8912
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Nora E Moreira, M.D.
Title
Partner
Phone
(513) 936-8900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 35035367M OH Primary

Addresses

Primary practice location

10495 Montgomery Rd
Suite 15
Cincinnati, OH 45242-4468

Mailing address

10495 Montgomery Rd
Suite 15
Cincinnati, OH 45242-4468
Phone (513) 936-8900

Other identifiers 2

IdentifierTypeStateIssuer
0917655MedicaidOH
0269061MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720104375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10495 MONTGOMERY RD",
            "address_2": "SUITE 15",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452424468",
            "telephone_number": "513-936-8900",
            "fax_number": "513-936-8912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10495 MONTGOMERY RD",
            "address_2": "SUITE 15",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452424468",
            "telephone_number": "513-936-8900",
            "fax_number": "513-936-8912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOREIRA & ROBLES INTERNAL MEDICINE ASSOC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOREIRA",
        "authorized_official_first_name": "NORA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "513-936-8900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35035367M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0917655",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0269061",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.