Provider Demographics
NPI:1396394615
Name:MOYA, EDUARDO ANDRES (MD)
Entity Type:Individual
Prefix:
First Name:EDUARDO
Middle Name:ANDRES
Last Name:MOYA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:325 S BISCAYNE BLVD APT 2217
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-2462
Mailing Address - Country:US
Mailing Address - Phone:786-208-0996
Mailing Address - Fax:
Practice Address - Street 1:1611 NW 12TH AVE FL 33136
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1005
Practice Address - Country:US
Practice Address - Phone:305-585-8178
Practice Address - Fax:305-585-5743
Is Sole Proprietor?:No
Enumeration Date:2019-09-09
Last Update Date:2023-06-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME1620882085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology