Rossana Moura MD PA

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

ME79901 Issued in FL

Legal business name

ROSSANA MOURA MD PA

Practice address

1601 N Palm Ave Ste 311
Pembroke Pines, FL 33026-3242

Phone

(954) 874-9000

Fax

(954) 874-7901

NPI assigned

Mar 18, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Rossana Moura, MDNPI 1801829189

Title

Authorized Official

Phone

(954) 874-9000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ROSSANA MOURA MD PA Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Networks

• HealthSun Health Plans Network

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rossana Moura, MD

  • Gastroenterology Physician
  • Pembroke Pines, FL
  • NPI 1801829189
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1821269846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 N PALM AVE STE 311",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263242",
            "telephone_number": "954-874-9000",
            "fax_number": "954-874-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 N PALM AVE STE 311",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263242",
            "telephone_number": "954-874-9000",
            "fax_number": "954-874-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSSANA MOURA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A",
        "authorized_official_last_name": "MOURA",
        "authorized_official_first_name": "ROSSANA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "954-874-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME79901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "ME79901",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROSSANA MOURA MD PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Boaz Shmuel Rosenblat, M.D.
• Juliana M. Rosenblat, MD
• Rosenblum Victoria PA
• Bruce Richard Rosenkranz, D.C.
• Caryn Rosenthal, MS, RD, LD, CDCES
• Arianna Rossi
• Angela Roth I, NP
• Benton Charles Rothfield, DDS
• Eric Rothschild, M.D.
• Roula Yazaji DDS, PA

• Gastroenterology Physician in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.