MEDICARE: MOYA-PRIDA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261Q00000X	Clinic/Center
2	363LF0000X	Family Nurse Practitioner
3	207R00000X	Internal Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700023207
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOYA-PRIDA MD

Provider Business Mailing Address
First Line	:	1460 S PALM AVE
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33025-5520
Country	:	US
Telephone Number	:	954-239-7486
Fax Number	:	954-376-7289

Provider Business Practice Location Address
First Line	:	1460 S PALM AVE
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33025-5520
Country	:	US
Telephone Number	:	954-239-7486
Fax Number	:	954-376-7289

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JAYNIER MOYA
Credential	:	MD
Telephone Number	:	305-776-5822

Provider Enumeration Date	:	01/21/2009
Last Update Date	:	12/09/2025

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Directions to “MOYA-PRIDA MD ” Practice Location

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