Individual
DR. ROBERTO ANDRES MOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., P.A.
Contact information
Practice address
2140 W 68TH ST, SUITE 201, HIALEAH, FL 33016-1815
(305) 826-4046
(305) 556-6271
Mailing address
2140 W 68TH ST, SUITE 201, HIALEAH, FL 33016-1815
(305) 826-4046
(305) 556-6271
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME31217
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001237HILH
NEIGHBORHHOD PROVIDER #
FL
01
—
201488
AMERIGROUP PROVIDER #
FL
01
—
95457
BCBS PROVIDER #
FL
Enumeration date
05/19/2006
Last updated
06/17/2020
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