Individual provider Active NPI

Omar Luis Morales, M.D.

  • Family Medicine Physician
  • Manati, PR
National Provider Identifier
1013974989
Registry record updated Aug 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
16054 Issued in PR
Practice address
E25 Calle Hernandez Carrion
Atenas
Manati, PR 00674-4622
Phone
(787) 224-2888
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 16054 PR Primary

Addresses

Primary practice location

E25 Calle Hernandez Carrion
Atenas
Manati, PR 00674-4622

Mailing address

A9 Buzon 22 Calle 2
Villa de Las Americas
San Juan, PR 00927
Phone (787) 224-2888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101011000119 PR Practitioner - Family Practice 0345252441 Practice locations: Manati, PR

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Marginal 1 Ext San Salvador
Edif. E 1a
Manati, PR 00674
Phone (787) 621-9797

Hospital & facility affiliations

  • Corporacion Las Vegas, LLC Home health agency, Manati, PR, CCN 407014
  • Manati Medical Center Dr Otero Lopez Hospital, Manati, PR, CCN 400114
  • Centro Medico Wilma N Vazquez Hospital, Vega Baja, PR, CCN 400115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16054PRMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Instituto Medico del Norte Inc Past Accepting new patients
Dorado Health Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282694400000",
    "number": "1013974989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "A9 BUZON 22 CALLE 2",
            "address_2": "VILLA DE LAS AMERICAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00927",
            "telephone_number": "787-224-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "E25 CALLE HERNANDEZ CARRION",
            "address_2": "ATENAS",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006744622",
            "telephone_number": "787-224-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES",
        "first_name": "OMAR",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2010-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "16054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

Verify at the official NPI Registry.