Moreno, Jose N

Moreno, Jose N is an individual health care provider with primary practice located at 1611 Nw 12Th Ave Box 016960 M851, Miami FL 33136-1005. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Moreno, Jose N can be contacted via phone (305) 243-4664.

Contact Information

Primary practice address
1611 Nw 12Th Ave Box 016960 M851 Miami FL 33136-1005
Phone: (305) 243-4664
Fax: (305) 243-8470
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X ME51429 Florida
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X ME51429 Florida

Profile Details

NPI number 1801820212
LBN Legal business name Moreno, Jose N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Apr 13th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801820212 NPPES
Florida MEDICAID 0486876-00

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