Healthcare Provider Details

I. General information

NPI: 1346099124
Provider Name (Legal Business Name): MOYA CARE CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2024
Last Update Date: 05/15/2024
Certification Date: 05/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

444 SW 99TH CT
MIAMI FL
33174-1883
US

IV. Provider business mailing address

444 SW 99TH CT
MIAMI FL
33174-1883
US

V. Phone/Fax

Practice location:
  • Phone: 786-873-9281
  • Fax:
Mailing address:
  • Phone: 786-873-9281
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JOSE M MOYA DE ARMAS
Title or Position: ONWER
Credential: APRN
Phone: 786-873-9281