Active NPI
Jeannette Morales Marrero, MD
- Pediatrics Physician
- San Juan, PR
National Provider Identifier
1053365155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 12571
- Practice address
- 732 Calle Guamani
Los Campos de Monte Hiedra
San Juan, PR 00926 - Phone
- (787) 644-0270
- Fax
- (787) 728-5136
- NPI assigned
- May 22, 2006
- Last updated
- Aug 6, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 12571 | PR | Primary |
Addresses
Primary practice location
732 Calle Guamani
Los Campos de Monte Hiedra
San Juan, PR 00926
Mailing address
732 Calle Guamani
Los Campos de Monte Hiedra
San Juan, PR 00926
Phone (787) 644-0270
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89195 | Other | PR | SSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12571 | PR | MD | Pediatrics Physician |
Interoperability endpoints
- sjcjmorale@yourcarecommunity.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722902400000",
"number": "1053365155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "732 CALLE GUAMANI",
"address_2": "LOS CAMPOS DE MONTE HIEDRA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-644-0270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "732 CALLE GUAMANI",
"address_2": "LOS CAMPOS DE MONTE HIEDRA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-644-0270",
"fax_number": "787-728-5136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORALES MARRERO",
"first_name": "JEANNETTE",
"name_prefix": "Miss",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-22",
"last_updated": "2024-08-06",
"certification_date": "2024-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PR",
"license": "12571",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SSS",
"identifier": "89195",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
- Melissa Annette Morales Garcia, MD
- Marilia Morales Gratacos, OD
- Elizabeth Morales Jimenez, PHD
- Efrain Morales Leon
- Arelis Nicole Morales Malave
- Gianni Alexander Morales Martinez
- Ilia Marie Morales Melecio, MD
- Kelvin L Morales Millan, PHD
- Arianys Krystal Morales Montalvo, DC
- Marieochka Morales Montes, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.