YUNIOR MOYA HERNANDEZ – General Practice Physician, NPI 1790423549

YUNIOR MOYA HERNANDEZ is a healthcare provider. based in Manor, Texas. specializing in FAMILY PRACTICE. They hold a License No. ACN1599 (FL). The NPI Number for YUNIOR MOYA HERNANDEZ is 1790423549

Main info

Male
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
YUNIOR MOYA HERNANDEZ
NPI
1790423549
Phone
(325) 260-8968
Address
19117 Rushmore St
Enumeration Date
23 May 2022
Last Update Date
18 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9415413678
Graduation Year
2009 (17 years ago)
PAC ID
4385087329
Group Practice PAC ID
0648271155
Professional Enrollment ID
I20240207001455
Address ID
FL342074401BR6090XWXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

8,706 FAMILY PRACTICE in TX

Provider Addresses for YUNIOR MOYA HERNANDEZ

  • 19117 Rushmore St

    Manor, TX 786532189

    Phone: (325) 260-8968

    Type: Location

  • 19117 RUSHMORE ST

    MANOR, TX 786532189

    Phone: (325) 260-8968

    Type: Mailing

  • 601 S HARBOUR ISLAND BLVD STE 200

    TAMPA, FL 336025925

    Phone: (800) 480-5243

    Type: Mailing

  • 5309 FRUITVILLE RD

    SARASOTA, FL 342326402

    Phone: (941) 909-7847

    Fax: (844) 388-6186

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-02-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240207001455IFamily PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78653)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648271155View full group profile
NameSpecialtyState
Physician AssistantFL
Family PracticeFL
Nurse PractitionerFL
General PracticeFL
General PracticeFL
Physician AssistantFL
General PracticeFL
General Practice, Family PracticeFL
Family PracticeFL
-FL

Reviews

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Frequently asked questions

Can I use this page to confirm YUNIOR MOYA HERNANDEZ's NPI?
Yes. YUNIOR MOYA HERNANDEZ is listed with NPI 1790423549 in the public NPI dataset.
Can I rely on YUNIOR MOYA HERNANDEZ being an active provider?
As of the registry snapshot, YUNIOR MOYA HERNANDEZ is marked active.
What taxonomy line describes YUNIOR MOYA HERNANDEZ?
For research purposes, treat YUNIOR MOYA HERNANDEZ as General Practice Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect YUNIOR MOYA HERNANDEZ on a map?
Expect Manor, Texas as a primary anchor for YUNIOR MOYA HERNANDEZ unless the record lists multiple sites.
Is the information about YUNIOR MOYA HERNANDEZ up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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