Active NPI
Ruben Moliere, NURSE PRACTITIONER
- Family Nurse Practitioner
- Altamonte Springs, FL
National Provider Identifier
1730748054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11002462
- Practice address
- 601 E Altamonte Dr
Altamonte Springs, FL 32701-4802 - Phone
- (407) 303-2200
- NPI assigned
- Jun 10, 2019
- Last updated
- Feb 8, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11002462 | FL | Primary |
Addresses
Primary practice location
601 E Altamonte Dr
Altamonte Springs, FL 32701-4802
Mailing address
1915 Avatar LN
Apopka, FL 32712-0001
Phone (407) 476-5759
Other practice location 1
601 E Altamonte Dr
Altamonte Springs, FL 32701-4802
Phone (407) 303-2200
Other practice location 2
601 E Rollins St
Orlando, FL 32803
Phone (407) 464-9516
Other practice location 3
1915 Avatar Ln
Apopka, FL 32712-0001
Phone (407) 476-5759
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11002462 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707350400000",
"number": "1730748054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1915 AVATAR LN",
"city": "APOPKA",
"state": "FL",
"postal_code": "327120001",
"telephone_number": "407-476-5759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 E ALTAMONTE DR",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327014802",
"telephone_number": "407-303-2200"
}
],
"practiceLocations": [
{
"address_1": "601 E Altamonte Dr",
"address_purpose": "LOCATION",
"city": "Altamonte Springs",
"state": "FL",
"postal_code": "327014802",
"country_code": "US",
"telephone_number": "407-303-2200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "601 E Rollins St",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "32803",
"country_code": "US",
"telephone_number": "407-464-9516",
"fax_number": "407-464-9519",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1915 Avatar Ln",
"address_purpose": "LOCATION",
"city": "Apopka",
"state": "FL",
"postal_code": "327120001",
"country_code": "US",
"telephone_number": "407-476-5759",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOLIERE",
"first_name": "RUBEN",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-10",
"last_updated": "2024-02-08",
"certification_date": "2024-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11002462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Altamonte Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.