Individual provider Active NPI

Elianette Morales-Figueroa

  • General Practice Physician
  • Maunabo, PR
National Provider Identifier
1164638854
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
16205 Issued in PR
Practice address
95 Urb Calimano
Maunabo, PR 00707-2216
Phone
(787) 861-0025
NPI assigned
May 16, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 16205 PR Primary

Addresses

Primary practice location

95 Urb Calimano
Maunabo, PR 00707-2216

Mailing address

95 Urb Calimano
Maunabo, PR 00707-2216
Phone (787) 861-0025

Other identifiers 2

IdentifierTypeStateIssuer
DM-16189-3OtherPRASSMCA
16205OtherPRSTATE LICENCE

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
I20090824000620 PR Practitioner - General Practice 9830243971 Practice locations: Yabucoa, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16205PRMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1164638854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 URB CALIMANO",
            "city": "MAUNABO",
            "state": "PR",
            "postal_code": "007072216",
            "telephone_number": "787-861-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 URB CALIMANO",
            "city": "MAUNABO",
            "state": "PR",
            "postal_code": "007072216",
            "telephone_number": "787-861-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES-FIGUEROA",
        "first_name": "ELIANETTE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSMCA",
            "identifier": "DM-16189-3",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE",
            "identifier": "16205",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maunabo, PR

Sources for this page

Verify at the official NPI Registry.