Edinson Matos-Moreno, SA-C
NPI 1174052229 · Surgical Physician Assistant · Davie, FL
Edinson Matos-Moreno, SA-C is a Surgical Physician Assistant provider in Davie, FL (NPI 1174052229).
Provider details
- NPI number
- 1174052229
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- SA-C
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Technologists, Technicians & Other Technical Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 705 Sw 148th Ave Apt 202Davie, FL 33325-3081Phone: (954) 801-8559
Registry dates
- Enumerated
- 2017-06-11
- Last updated
- 2022-07-21
Frequently asked questions
- What is Edinson Matos-Moreno's NPI number?
- Edinson Matos-Moreno's National Provider Identifier (NPI) is 1174052229, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Edinson Matos-Moreno's specialty?
- Edinson Matos-Moreno is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Edinson Matos-Moreno located?
- Edinson Matos-Moreno's practice location on file with NPPES is 705 Sw 148th Ave Apt 202, Davie, FL 33325.
- What is Edinson Matos-Moreno's phone number?
- The practice phone number listed in the NPPES registry for Edinson Matos-Moreno is (954) 801-8559.
- Is Edinson Matos-Moreno's NPI active?
- Yes — Edinson Matos-Moreno's NPI (1174052229) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.