Individual provider Active NPI

Gary E Morales Geraldino, M. D.

  • General Practice Physician
  • St Augustine, FL
National Provider Identifier
1083998090
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME122090 Issued in FL
Practice address
1000 Plantation Island Dr S Ste 9
St Augustine, FL 32080-3106
Phone
(904) 460-9191
NPI assigned
Oct 10, 2011
Last updated
Feb 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 28653-R PR
General Practice Physician 208D00000X ME122090 FL Primary

Addresses

Primary practice location

1000 Plantation Island Dr S Ste 9
St Augustine, FL 32080-3106

Mailing address

2460 Old Moultrie Rd Ste 1
St Augustine, FL 32086-4198

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20141218001515 FL Practitioner - General Practice 5799008967 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
University of Puerto Rico School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Island Doctors Intrastate LLCGroup PAC ID 5395161186, 74 clinicians
Roy H Hinman MD PAGroup PAC ID 3173584174, 9 clinicians

Practice addresses (Care Compare)

2354 Surfside Blvd
Suite D 103
Cape Coral, FL 33991-3177
Phone (239) 317-7131

729 Beville Rd
South Daytona, FL 32119-1823
Phone (386) 256-4791

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28653-RPRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Island Doctors Intrastate LLC CurrentSince Mar 4, 2021 Accepting new patients
Roy H Hinman MD PA CurrentSince Nov 25, 2014 Accepting new patients

Locations

2354 Surfside Blvd
Cape Coral, FL 33991

2354 Surfside Blvd
Ste D
Cape Coral, FL 33991
Phone (239) 317-7131

2354 Surfside Blvd
Ste D103
Cape Coral, FL 33991
Phone (239) 317-7131

811 N Summit St
Crescent City, FL 32112
Phone (386) 698-2101

1000 Plantation Island Dr S
Ste 9
Saint Augustine, FL 32080
Phone (904) 217-0715

729 Beville Rd
South Daytona, FL 32119
Phone (386) 256-4791

100 Arricola Ave
St Augustine, FL 32080
Phone (904) 825-4368

103 Anastasia Blvd
St Augustine, FL 32080
Phone (904) 825-4747

2460 Old Moultrie Rd
Ste 1
St Augustine, FL 32086
Phone (904) 293-0299

2460 Old Moultrie Rd
Ste 5
St Augustine, FL 32086
Phone (904) 794-7870

Networks

  • Freedom Health HMO Network

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1083998090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 OLD MOULTRIE RD STE 1",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320864198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 PLANTATION ISLAND DR S STE 9",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320803106",
            "telephone_number": "904-460-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES GERALDINO",
        "first_name": "GARY",
        "middle_name": "E",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-10",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "28653-R",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME122090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.