Individual provider Active NPI

Moraima Garcia, ARNP

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1912429291
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9313481 Issued in FL
Practice address
1738 W 49TH St Ste 10
Hialeah, FL 33012-3457
Phone
(305) 698-8432
Fax
(305) 698-8975
NPI assigned
Jul 8, 2017
Last updated
Nov 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9313481 FL Primary

Addresses

Primary practice location

1738 W 49TH St Ste 10
Hialeah, FL 33012-3457

Mailing address

7925 NW 12TH St Ste 201
Doral, FL 33126-1821
Phone (305) 874-3909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190109001583 FL Practitioner - Nurse Practitioner 6103162326 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9313481FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centers of Medical Excellence, LLC CurrentSince Jun 1, 2021 Accepting new patients

Locations

7925 NW 12th St
Ste 201
Doral, FL 33126

1738 W 49th St
Ste 10
Hialeah, FL 33012
Phone (305) 698-8432

1176 SW 67th Ave
Miami, FL 33144
Phone (305) 359-9838

15529 Bull Run Rd
Miami Lakes, FL 33014
Phone (305) 328-8922

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1499472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1912429291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7925 NW 12TH ST STE 201",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261821",
            "telephone_number": "305-874-3909",
            "fax_number": "305-874-3916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1738 W 49TH ST STE 10",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123457",
            "telephone_number": "305-698-8432",
            "fax_number": "305-698-8975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "MORAIMA",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-08",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9313481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.