Active NPI
Jeanelys Nicole Morales, B.S.M.H.S.A.M.B.A
- Electroneurodiagnostic Specialist/Technologist
- Maricao, PR
National Provider Identifier
1063244887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- Practice address
- Carr 105 KM 20.0 Bo. Montoso Sector la Carmen
HC01 Box 8286
Maricao, PR 00606 - Phone
- (787) 451-7617
- NPI assigned
- Aug 19, 2024
- Last updated
- Aug 20, 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 |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | Primary |
Addresses
Primary practice location
Carr 105 KM 20.0 Bo. Montoso Sector la Carmen
HC01 Box 8286
Maricao, PR 00606
Mailing address
Carr 105 KM 20.0 Bo. Montoso Sector la Carmen
HC01 Box 8286
Maricao, PR 00606
Phone (787) 451-7617
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724112000000",
"number": "1063244887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CARR 105 KM 20.0 BO. MONTOSO SECTOR LA CARMEN",
"address_2": "HC01 BOX 8286",
"city": "MARICAO",
"state": "PR",
"postal_code": "00606",
"telephone_number": "787-451-7617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 105 KM 20.0 BO. MONTOSO SECTOR LA CARMEN",
"address_2": "HC01 BOX 8286",
"city": "MARICAO",
"state": "PR",
"postal_code": "00606",
"telephone_number": "787-451-7617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORALES",
"first_name": "JEANELYS",
"middle_name": "NICOLE",
"name_prefix": "Ms.",
"credential": "B.S.M.H.S.A.M.B.A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-19",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "246ZE0600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maricao, PR
- Migrant Health Center Western Region, Inc.
- Migrant Health Center Western Region, Inc.
- Migrant Health Center. Inc
- Anibell Perez Milan, MSW
- Lysvette Montalvo, PHARMD
- Municipio de Maricao
- Praxedes B Ortiz
- Sandra Ruiz, MA
- Nichole Marie Seda Martinez, MD, PA
- Servicios Medicos Las Marias (Emergencia Maricao)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.