Individual provider Active NPI

Emma Evelin Moreno Tamayo

  • Specialist
  • Miami, FL
National Provider Identifier
1720996515
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
110 NW 27TH Ave
Miami, FL 33125-5114
Phone
(305) 631-6991
NPI assigned
Aug 31, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

110 NW 27TH Ave
Miami, FL 33125-5114

Mailing address

110 NW 27TH Ave
Miami, FL 33125-5114
Phone (305) 631-6991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1720996515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 NW 27TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331255114",
            "telephone_number": "305-631-6991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 NW 27TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331255114",
            "telephone_number": "305-631-6991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO TAMAYO",
        "first_name": "EMMA",
        "middle_name": "EVELIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-31",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "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 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.