Individual provider Active NPI

Benjamin Morales, PRACTICAL NURSE

  • Licensed Practical Nurse
  • Mayaguez, PR
National Provider Identifier
1114134392
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
21325 Issued in PR
Practice address
Centro Salud Mental de Mayaguez
410 Ave Hostos Suite 7
Mayaguez, PR 00682-1522
Phone
(787) 833-0663
Fax
(787) 833-1371
NPI assigned
May 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 21325 PR Primary

Addresses

Primary practice location

Centro Salud Mental de Mayaguez
410 Ave Hostos Suite 7
Mayaguez, PR 00682-1522

Mailing address

Barrio Quebrada Grande
HC-02 Box 20742
Mayaguez, PR 00680
Phone (787) 834-5240

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

State licenses

LicenseStateTypeSpecialty
21325PRMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114134392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BARRIO QUEBRADA GRANDE",
            "address_2": "HC-02 BOX 20742",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-834-5240",
            "fax_number": "787-833-1371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO SALUD MENTAL DE MAYAGUEZ",
            "address_2": "410 AVE HOSTOS SUITE 7",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006821522",
            "telephone_number": "787-833-0663",
            "fax_number": "787-833-1371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES",
        "first_name": "BENJAMIN",
        "name_prefix": "Mr.",
        "credential": "PRACTICAL NURSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PR",
            "license": "21325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.