Provider Demographics
NPI:1356733877
Name:MORIYON, MILKO RESTITUTO (MSN,ARNP,FNP)
Entity type:Individual
Prefix:
First Name:MILKO
Middle Name:RESTITUTO
Last Name:MORIYON
Suffix:
Gender:M
Credentials:MSN,ARNP,FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2995 SW 110TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-2335
Mailing Address - Country:US
Mailing Address - Phone:786-239-2051
Mailing Address - Fax:305-551-2898
Practice Address - Street 1:2995 SW 110TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-2335
Practice Address - Country:US
Practice Address - Phone:786-239-2051
Practice Address - Fax:305-551-2898
Is Sole Proprietor?:No
Enumeration Date:2015-02-20
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9295213163WP0809X
FLARNP9295213363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult