Provider Demographics
NPI:1861372104
Name:ELVIR, MOISES
Entity type:Individual
Prefix:
First Name:MOISES
Middle Name:
Last Name:ELVIR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 SE 6TH ST APT 3510
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-2572
Mailing Address - Country:US
Mailing Address - Phone:305-632-1243
Mailing Address - Fax:
Practice Address - Street 1:55 SE 6TH ST APT 3510
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33131-2572
Practice Address - Country:US
Practice Address - Phone:305-632-1243
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-05
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9561491163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse