Individual
JOSE N MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1611 NW 12TH AVE, BOX 016960 M851, MIAMI, FL 33136-1005
(305) 243-4664
(305) 243-8470
Mailing address
7800 S.W. 87TH AVENUE, SUITE C-340, MIAMI, FL 33173-3570
(305) 595-0109
(305) 595-7092
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
ME51429
FL
207RI0200X
Infectious Disease Physician
ME51429
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0486876-00
—
FL
Enumeration date
07/10/2006
Last updated
04/13/2015
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