Provider Demographics
NPI:1558082156
Name:MOYA DE ARMAS, JOSE MANUEL (FNP-C)
Entity Type:Individual
Prefix:
First Name:JOSE
Middle Name:MANUEL
Last Name:MOYA DE ARMAS
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13306 SW 128TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-5899
Mailing Address - Country:US
Mailing Address - Phone:305-424-9060
Mailing Address - Fax:305-363-4412
Practice Address - Street 1:13306 SW 128TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-5899
Practice Address - Country:US
Practice Address - Phone:305-424-9060
Practice Address - Fax:305-363-4412
Is Sole Proprietor?:No
Enumeration Date:2022-09-12
Last Update Date:2023-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11022286363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL11022286OtherFAMILY NURSE PRACTITIONER
FLRN9530091OtherRN