Individual provider Active NPI

Juan Francisco Moraguez Rodriguez, FNP

  • Family Nurse Practitioner
  • Tavernier, FL
National Provider Identifier
1780444620
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11031776 Issued in FL
Practice address
48 High Point Rd
Tavernier, FL 33070-2006
Phone
(305) 370-9353
NPI assigned
Mar 19, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11031776 FL Primary

Addresses

Primary practice location

48 High Point Rd
Tavernier, FL 33070-2006

Mailing address

48 High Point Rd
Tavernier, FL 33070-2006
Phone (305) 370-9353

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11031776FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1780444620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 HIGH POINT RD",
            "city": "TAVERNIER",
            "state": "FL",
            "postal_code": "330702006",
            "telephone_number": "305-370-9353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 HIGH POINT RD",
            "city": "TAVERNIER",
            "state": "FL",
            "postal_code": "330702006",
            "telephone_number": "305-370-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAGUEZ RODRIGUEZ",
        "first_name": "JUAN",
        "middle_name": "FRANCISCO",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11031776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tavernier, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.

Verify at the official NPI Registry.