Individual provider Active NPI

David Morales-Orta, M.D.

  • Diagnostic Radiology Physician
  • San Juan, PR
National Provider Identifier
1083828040
Registry record updated Jun 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
4172 Issued in PR
Practice address
62 Calle Georgetti
San Juan, PR 00925-3607
Phone
(787) 754-1980
Fax
(787) 754-8202
NPI assigned
May 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 4172 PR Primary
Diagnostic Ultrasound Physician 2085U0001X 4172 PR

Addresses

Primary practice location

62 Calle Georgetti
San Juan, PR 00925-3607

Mailing address

229 Carr #2 Pha Villa Caparra Executive Cond
Pha Villa Caparra Executive Cond.
Guaynabo, PR 00966-6541
Phone (787) 785-0473

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4172PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Georgetti Medical Imaging Center Diagnostic Radiology Past Accepting new patients
Nogal Radiology Associates Diagnostic Radiology PastSince Sep 4, 1998 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.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402617600000",
    "number": "1083828040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 CARR #2 PHA VILLA CAPARRA EXECUTIVE COND",
            "address_2": "PHA VILLA CAPARRA EXECUTIVE COND.",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009666541",
            "telephone_number": "787-785-0473",
            "fax_number": "787-740-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 CALLE GEORGETTI",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009253607",
            "telephone_number": "787-754-1980",
            "fax_number": "787-754-8202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES-ORTA",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2014-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "4172",
            "primary": true
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "PR",
            "license": "4172",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; 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.