Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pablo A Rengifo-Moreno, MD

Individual provider Interventional Cardiology Physician · NPI 1356500854

Pablo A Rengifo-Moreno, MD is an Interventional Cardiology in Fort Lauderdale, Florida. Qualified in 2004, 22 years ago. Practices with North Broward Hospital District, a 190-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida, Georgia and Massachusetts.

Years since qualifying
22
Licensed in
FL, GA, MA
In the registry since
2008
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1625 SE 3rd Ave Ste 620
Fort Lauderdale, FL 33316-2521
Phone: (954) 788-5000
Fax: (954) 888-3505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1625 Se 3rd Ave Ste 300, Fort Lauderdale, FL 33316-2521 — (954) 355-4665
  • 1625 Se 3rd Ave Ste 355, Fort Lauderdale, FL 33316-2521 — (954) 355-5001

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence ME138838 (FL)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 076669 (GA)
Internal Medicine Physician Taxonomy 207R00000X · Licence AS 4148501 E-64 (MA)

Record details

NPI number1356500854
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 9, 2008
Last updated in NPPESOctober 20, 2025
Certification dateOctober 20, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice North Broward Hospital District — 190 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

Other providers in Fort Lauderdale