MR. MITDAEL MORENO APRN
NPI 1013432798
Nurse Practitioner - Family in Miami, FL

Active since August 03, 2017
12320 QUAIL ROOST DR, MIAMI, FL 33177(786) 237-3070(786) 430-8198 Get Directions Write a Review

NPPES record last updated: January 21, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 21, 2021, Dec 4, 2020, Feb 4, 2019 and 2 more (5 updates tracked since 2017).

About Mr. Mitdael Moreno Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MITDAEL MORENO APRN (NPI 1013432798) is an individual family provider in Miami, Florida, licensed in Florida (APRN9292469) and active in the NPI registry since August 2017. He maintains a secondary practice location in North Miami Beach.

NPPES Registry Identity

NPI1013432798
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. MITDAEL MORENOCredential: APRN
Location Address12320 QUAIL ROOST DRMiami, FL 33177-4930
Mailing Address6100 Blue Lagoon Dr Ste 365Miami, FL 33126-7010 · (786) 322-7333
Fax(786) 430-8198
Sole ProprietorNo
Enumeration DateAugust 3, 2017
Last NPPES UpdateJanuary 21, 20215 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2021
NPI 1013432798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in FL · APRN9292469
12320 QUAIL ROOST DR, Miami, FL 33177

Secondary Practice Location 1

Location 1743 NE 167th StNorth Miami Beach, FL 33162-2404 · Phone (307) 957-0017

Other Identifiers 1

Medicaid101989700FL

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
12320 QUAIL ROOST DR
MIAMI, FL 33177
Nurse Practitioner (Family)
12320 QUAIL ROOST DR
MIAMI, FL 33177
Nurse Practitioner
12320 QUAIL ROOST DR
MIAMI, FL 33177
Family Medicine
12320 QUAIL ROOST DR
MIAMI, FL 33177

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mitdael Moreno's NPI number?

The NPI number for Mitdael Moreno is 1013432798. It was assigned to this individual provider in the NPPES registry on August 3, 2017.

Where is Mitdael Moreno located?

Mitdael Moreno practices at 12320 Quail Roost Dr, Miami, FL 33177. The listed phone number is (786) 237-3070.

What is Mitdael Moreno's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Mitdael Moreno was last updated on January 21, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.