Individual provider Active NPI

Melissa Annette Morales Garcia, MD

  • Neurology Physician
  • San Juan, PR
National Provider Identifier
1063901304
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
21514 Issued in PR
Practice address
133 Calle Manuel Domenech
San Juan, PR 00918-3501
Phone
(787) 399-1551
NPI assigned
May 2, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 21514 PR
Student in an Organized Health Care Education/Training Program 390200000X 21514 PR
Neurology Physician 2084N0400X 21514 PR Primary

Addresses

Primary practice location

133 Calle Manuel Domenech
San Juan, PR 00918-3501

Mailing address

381 Ave Felisa Rincon de Gautier
Condominio Paseo Monte Apt 1501
San Juan, PR 00926
Phone (787) 399-1551

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
I20230501000379 PR Practitioner - Neurology 9537543020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

133 Calle Manuel Domenech
San Juan, PR 00918-3501
Phone (787) 399-1551

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21514PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neuromovement MMG, LLC Neurology CurrentSince Jan 17, 2023 Accepting new patients

Locations

133 Calle Manuel Domenech
San Juan, PR 00918
Phone (787) 399-1551

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1063901304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 AVE FELISA RINCON DE GAUTIER",
            "address_2": "CONDOMINIO PASEO MONTE APT 1501",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-399-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 CALLE MANUEL DOMENECH",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183501",
            "telephone_number": "787-399-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES GARCIA",
        "first_name": "MELISSA",
        "middle_name": "ANNETTE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-02",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21514",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "21514",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PR",
            "license": "21514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.