Healthcare Provider Details

I. General information

NPI: 1255405262
Provider Name (Legal Business Name): ARACELI V. MONEDA ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ARACELI GIGI MONEDA ARNP

II. Dates (important events)

Enumeration Date: 11/20/2006
Last Update Date: 01/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 NW 10TH AVE SUITE 7168 (R-126)
MIAMI FL
33136-1015
US

IV. Provider business mailing address

1600 NW 10TH AVE SUITE 7168 (R-126)
MIAMI FL
33136-1015
US

V. Phone/Fax

Practice location:
  • Phone: 305-243-3582
  • Fax: 305-243-3506
Mailing address:
  • Phone: 305-243-3582
  • Fax: 305-243-3506

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP797502
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: