Emanuel C Moreno Candelaria, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

19452 Issued in PR

Practice address

J28 Calle 3
Urb Villa Evangelina
Manati, PR 00674-6121

Phone

(787) 507-7757

NPI assigned

Sep 13, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

General Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Gem CM M PSC

  • General Practice Physician
  • Aguadilla, PR
  • NPI 1134834229
  Medicare reassignment NPD

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

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1194273755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "J28 CALLE 3",
            "address_2": "URB VILLA EVAMGELINA",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-507-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "J28 CALLE 3",
            "address_2": "URB VILLA EVANGELINA",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006746121",
            "telephone_number": "787-507-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO CANDELARIA",
        "first_name": "EMANUEL C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-13",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "19452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omar Luis Morales, M.D.
• Orlianisse Morales
• Sofia Margarita Morales, MD
• Claudia M Moreda Rivero
• Francisco Javier Moreda, DMD
• Carmen I. Moreno Crespo, PHYSICAL THERAPIST
• Sheila Janice Moreno Fuentes, MD
• MRPV,LLC
• MTG Pediatric Group PSG
• Glenda L. Mulgado

• General Practice Physician in Manati, PR
• Providers in Manati, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.