Moreno, Daniel Alfonso

Moreno, Daniel Alfonso is an individual health care provider with primary practice located at 2734 Sw 37Th Ave , Coconut Grove FL 33133-2728. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Moreno, Daniel Alfonso can be contacted via phone (305) 642-4263.

Contact Information

Primary practice address
2734 Sw 37Th Ave Coconut Grove FL 33133-2728
Phone: (305) 642-4263
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9113632 Florida

Profile Details

NPI number 1306451778
LBN Legal business name Moreno, Daniel Alfonso
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2020
Last updated Nov 23rd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306451778 NPPES
Florida MEDICAID 7863554818

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