Noel Antonio Mora Rodriguez
Family Medicine in Miami, FL. Individual provider (NPI-1).
NPI number1083173405
StatusActive
Last updated in NPPESJun 4, 2025
Details
- NPI
- 1083173405
- Entity type
- Individual (NPI-1)
- Name
- Noel Antonio Mora Rodriguez
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 15, 2019
- Certification date
- Jun 4, 2025
- Last updated
- Jun 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | TRN42496 | FL | Yes |
| 171M00000X | Case Manager/Care Coordinator | CBHCM102175-P | FL |
Practice location
2500 Sw 75th AveMiami, FL 33155-2805
Phone 305-264-5252
Mailing address
2500 Sw 75th AveMiami, FL 33155-2805
Phone 305-264-5252
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