Active NPI
Adrian Moya Raimundo, CRNA
- Certified Registered Nurse Anesthetist
- Maitland, FL
National Provider Identifier
1861098071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN11009512
- Practice address
- 500 Winderley PL Ste 115
Maitland, FL 32751-7406 - Phone
- (786) 359-9359
- NPI assigned
- Dec 11, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 11009512 | FL | |
| Certified Registered Nurse Anesthetist | 367500000X | APRN11009512 | FL | Primary |
Addresses
Primary practice location
500 Winderley PL Ste 115
Maitland, FL 32751-7406
Mailing address
500 Winderley PL Ste 115
Maitland, FL 32751-7406
Phone (786) 359-9359
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | ORLANDO |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11009512 | FL | MD | Certified Registered Nurse Anesthetist |
| APRN11009512 | FL | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614124800000",
"number": "1861098071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 WINDERLEY PL STE 115",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327517406",
"telephone_number": "786-359-9359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 WINDERLEY PL STE 115",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327517406",
"telephone_number": "786-359-9359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOYA RAIMUNDO",
"first_name": "ADRIAN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-11",
"last_updated": "2021-02-24",
"certification_date": "2021-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "11009512",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "APRN11009512",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "ORLANDO",
"affiliation": "N",
"address_1": "52 W Underwood St",
"city": "Orlando",
"state": "FL",
"country_code": "US",
"postal_code": "328061110",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Maitland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.