BENJAMIN MORENO M.D. NPI 1548212897

NPI Information

NPI: 1548212897
Provider Name: BENJAMIN MORENO, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
4543 PLEASANT HILL RD
KISSIMMEE, FL
ZIP 34759
Phone: (407) 933-7900
Get Directions

Benjamin Moreno, M.D. is a general practice in Kissimmee, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Benjamin Moreno, M.D. NPI is 1548212897. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4543 PLEASANT HILL RD
KISSIMMEE, FL
ZIP 34759-403
Phone: (407) 933-7900

The NPI 1548212897 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/16/2006 and was last updated on 11/23/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	146D00000X	Personal Emergency Response Attendant		16431	PUERTO RICO	No
2	208D00000X	General Practice		ACN326	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	24403	MEDICARE ID-TYPE UNSPECIFIED	PUERTO RICO	MEDICARE
2	24403MO	OTHER	PUERTO RICO	TRIPLES
3	I53422	MEDICARE UPIN	PUERTO RICO
4	ACN326	OTHER	FLORIDA	MEDICAL LICENSE NUMBER
5	005544500	MEDICAID	FLORIDA
6	HO739Z	MEDICARE OSCAR/CERTIFICATION	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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