Moreno, Ruben Antenor

Moreno, Ruben Antenor is an individual health care provider with primary practice located at 5070 Minton Rd Nw Suite 5, Palm Bay FL 32907-1157. He recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as his primary health care specialty. Moreno, Ruben Antenor can be contacted via phone (321) 768-1600.

Contact Information

Primary practice address
5070 Minton Rd Nw Suite 5 Palm Bay FL 32907-1157
Phone: (321) 768-1600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X ME51282 Florida

Profile Details

NPI number 1225092331
LBN Legal business name Moreno, Ruben Antenor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Nov 12th, 2020 - about 4 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 1225092331 NPPES
Florida Other 592896023 UNITEDHEALTHCARE
Florida Other 0561133 UNITEDHEALTHCARE
Florida Other 05683 UNITEDHEALTHCARE
Florida Other 20015 UNITEDHEALTHCARE
Florida Other 4112056 UNITEDHEALTHCARE

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