Active NPI
Amin Moya, RN
- Assisted Living Facility
- El Paso, TX
National Provider Identifier
1790423077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 307637
- Practice address
- 10165 Bermuda Ave
El Paso, TX 79925-5416 - Phone
- (915) 422-3583
- NPI assigned
- May 25, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 307637 | TX | Primary |
Addresses
Primary practice location
10165 Bermuda Ave
El Paso, TX 79925-5416
Mailing address
10165 Bermuda Ave
El Paso, TX 79925-5416
Phone (915) 422-3583
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 307637 | TX | MD | Assisted Living Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714435200000",
"number": "1790423077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10165 BERMUDA AVE",
"city": "EL PASO",
"state": "TX",
"postal_code": "799255416",
"telephone_number": "915-422-3583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10165 BERMUDA AVE",
"city": "EL PASO",
"state": "TX",
"postal_code": "799255416",
"telephone_number": "915-422-3583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOYA",
"first_name": "AMIN",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-05-25",
"last_updated": "2024-04-30",
"certification_date": "2022-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "TX",
"license": "307637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.