Active NPI
Ruben Yossef Moche Journo
- Dentist
- Miami Beach, FL
National Provider Identifier
1871338566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN29241
- Practice address
- 4779 Collins Ave Apt 3307
Miami Beach, FL 33140-3259 - Phone
- (786) 630-5152
- NPI assigned
- Jun 26, 2024
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN29241 | FL | Primary |
Addresses
Primary practice location
4779 Collins Ave Apt 3307
Miami Beach, FL 33140-3259
Mailing address
4779 Collins Ave Apt 3307
Miami Beach, FL 33140-3259
Phone (786) 630-5152
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN29241 | FL | MD | Dentist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719360000000",
"number": "1871338566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4779 COLLINS AVE APT 3307",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331403259",
"telephone_number": "786-630-5152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4779 COLLINS AVE APT 3307",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331403259",
"telephone_number": "786-630-5152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOURNO",
"first_name": "RUBEN",
"middle_name": "YOSSEF MOCHE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-06-26",
"last_updated": "2024-06-26",
"certification_date": "2024-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN29241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.