Individual provider Active NPI

Jeanelys Nicole Morales, B.S.M.H.S.A.M.B.A

  • Electroneurodiagnostic Specialist/Technologist
  • Maricao, PR
National Provider Identifier
1063244887
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

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.

Verify at the official NPI Registry.