Dr. Ruben Antenor Moreno
MOHS-Micrographic Surgeon
5070 Minton Rd Nw Suite 5
Palm Bay
, Florida 32907-1157
Dr. Ruben Antenor Moreno
MOHS-Micrographic Surgeon
5070 Minton Rd Nw Suite 5
Palm Bay
, Florida 32907-1157
(321) 768-1600
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About
Features
Specialties
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Ruben Antenor Moreno
- 5070 Minton Rd Nw Suite 3a
- Palm Bay, FL
- Zip : 32907-1157
- Phone : (321) 768-1600
Second Address
- Dr. Ruben Antenor Moreno
- 5070 Minton Rd Nw Suite 5
- Palm Bay, FL
- Zip : 32907-1157
- Phone : (321) 768-1600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207ND0101X | MOHS-Micrographic Surgeon | ME51282 | FL |
National Provider Identifier
| NPI | 1225092331 |
|---|---|
| Provider Name | Dr. Ruben Antenor Moreno |
| First Address | Palm Bay, FL 32907-1157 |
| Second Address | Palm Bay, FL 32907-1157 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/04/2006 |
| Last Update Date | 12/11/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0561133 | CIGNA (01) | FL |
| 05683 | BCBS (01) | FL |
| 20015 | FLORIDIANCARE (01) | FL |
| 4112056 | AETNA (01) | FL |
| 592896023 | UNITEDHEALTHCARE (01) | FL |
| D51392 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.