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Deactivated NPI 1508256231 Deactivated / Inactive NPI Male Practitioner

Dr. Yecid Damian Mora , MD

General Practice • North Miami Beach, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Yecid Mora has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 03, 2015
NPI Deactivation Date November 03, 2020
Total Practice Duration ~5 Years of Practice (2015 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Yecid Mora, MD was a registered General Practice practicing in North Miami Beach, FL. Throughout an active medical career spanning 5 years, Dr. Mora provided care at the practice location at 1 NE 167TH ST until profile deactivation on 2020-11-03.

Historical Medicare Part B clinical services included routine ekg using at least 12 leads including interpretation and report. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1 Ne 167th St

North Miami Beach, FL 331623402

Telephone 3054329565
Associated Practice Facility / Clinic
🏢 Prx Inc Facility NPI 1497858096

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in North Miami Beach, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.0 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
8 Specialists

Practicing in North Miami Beach, FL (2490 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
77.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
93000 Routine ekg using at least 12 leads including interpretation and report
17 16 $75.00 $16.87

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License FL ACN691

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Lilliana Vazquez Rivera , MD

Internal Medicine - Infectious Disease

NPI 1205097953

Doctor of Medicine (M.D.)

Aylin Valdes Gonzalez , FNP

Nurse Practitioner - Family

NPI 1568307452

Family Nurse Practitioner

Maria Chiu , PA

Physician Assistant - Medical

NPI 1588934764

Physician Assistant

NPI 1598868903

Doctor of Medicine (M.D.)

Mayda Bonilla-Oats , MSN, ARNP, FNP-C

Nurse Practitioner - Family

NPI 1740002088

Master of Science in Nursing, Advanced Registered Nurse Practitioner, Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
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NPI Profile Deactivated November 03, 2020

Record deactivated on November 03, 2020

NPI Profile Active January 12, 2018

NPI status registered as active in NPPES database

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Updated Practice Location January 12, 2018

Registered at 1021 HEALTH PARK DRIVE, PO BOX 1120, MOORE HAVEN, FL 334711120 (Tel: 3054329565)

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Updated Business Mailing Address January 12, 2018

Registered at 5827 CORPORATE WAY, WEST PALM BEACH, FL 334072000 (Tel: 5618449443)

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Provider Name / Credentials Updated January 12, 2018

Recorded as YECID MORA, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2018

General Practice (License #019003 in PR)

NPI Profile Active October 14, 2016

NPI status registered as active in NPPES database

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Updated Practice Location October 14, 2016

Registered at 1 NE 167TH ST, NORTH MIAMI BEACH, FL 331623402 (Tel: 3054329565)

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Updated Business Mailing Address October 14, 2016

Registered at 2068 SW 138TH CT, MIAMI, FL 331757538

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Provider Name / Credentials Updated October 14, 2016

Recorded as YECID MORA, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 14, 2016

General Practice (License #ACN691 in FL)

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Initial NPI Registration & Enumeration February 03, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508256231
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 03, 2015
Last Update: October 14, 2016
Deactivation Date: November 03, 2020

Mailing Address

2068 Sw 138th Ct

Miami, FL 331757538

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.