MEDICARE: MOISES ELVIR

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	9561491	FL

General Provider Information

NPI Number	:	1861372104
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOISES ELVIR

Provider Business Mailing Address
First Line	:	55 SE 6TH ST APT 3510
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33131-2572
Country	:	US
Telephone Number	:	305-632-1243
Fax Number	:

Provider Business Practice Location Address
First Line	:	55 SE 6TH ST APT 3510
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33131-2572
Country	:	US
Telephone Number	:	305-632-1243
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/05/2025
Last Update Date	:	09/05/2025

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