Jose N Moreno, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

ME51429 Issued in FL

Practice address

1611 NW 12TH Ave
Box 016960 M851
Miami, FL 33136-1005

Phone

(305) 243-4664

Fax

(305) 243-8470

NPI assigned

Jul 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• University of Miami

  • Otolaryngic Allergy Physician
  • Miami, FL
  • NPI 1386694115
  NPD (past)
• University of Miami

  • Otolaryngology Physician
  • Miami, FL
  • NPI 1689623100
  NPD (past)
• Dra Yanira Arce-Ayala

  • Allergy & Immunology (Internal Medicine) Physician
  • San Juan, PR
  • NPI 1437768843
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428883200000",
    "number": "1801820212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 S.W. 87TH AVENUE",
            "address_2": "SUITE C-340",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733570",
            "telephone_number": "305-595-0109",
            "fax_number": "305-595-7092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 NW 12TH AVE",
            "address_2": "BOX 016960 M851",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361005",
            "telephone_number": "305-243-4664",
            "fax_number": "305-243-8470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "JOSE",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2015-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "ME51429",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME51429",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0486876-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ines Moreno
• Jacqueline Moreno
• Jamner Moreno
• Jesse Moreno
• Jesus Enrique Moreno, LMHC
• Manuel Eduardo Moreno, M.D.
• Manuel F Moreno, MA
• Maria Moreno, RBT
• Maribel Moreno
• Martha Lucia Moreno, LMFT

• Allergy & Immunology Physician in Miami, FL
• Providers in Miami, FL by specialty
• Allergy & Immunology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.