Provider Demographics
NPI:1255405262
Name:MONEDA, ARACELI V (ARNP)
Entity type:Individual
Prefix:
First Name:ARACELI
Middle Name:V
Last Name:MONEDA
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:ARACELI
Other - Middle Name:GIGI
Other - Last Name:MONEDA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ARNP
Mailing Address - Street 1:1600 NW 10TH AVE
Mailing Address - Street 2:SUITE 7168 (R-126)
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-1015
Mailing Address - Country:US
Mailing Address - Phone:305-243-3582
Mailing Address - Fax:305-243-3506
Practice Address - Street 1:1600 NW 10TH AVE
Practice Address - Street 2:SUITE 7168 (R-126)
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1015
Practice Address - Country:US
Practice Address - Phone:305-243-3582
Practice Address - Fax:305-243-3506
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2014-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP797502363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL307886800Medicaid
FLE3759ZMedicare UPIN
FLP01775 0001Medicare UPIN