Jivet Lee Morales

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

23059 Issued in PR

Practice address

Urbanizacion Estancias de Juncos
Calle Camino del Parque 112
Juncos, PR 00777

Phone

(939) 276-1574

NPI assigned

May 20, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1194390427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URBANIZACION ESTANCIAS DE JUNCOS",
            "address_2": "CALLE CAMINO DEL PARQUE 112",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "00777",
            "telephone_number": "939-276-1574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URBANIZACION ESTANCIAS DE JUNCOS",
            "address_2": "CALLE CAMINO DEL PARQUE 112",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "00777",
            "telephone_number": "939-276-1574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES",
        "first_name": "JIVET",
        "middle_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-20",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Desktops",
            "affiliation": "N",
            "endpointDescription": "Laptops.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "Urbanizacion Estancias de Juncos",
            "address_2": "Camino del Parque 112",
            "city": "Juncos",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Metro-Eastern Physician Group L.L.C.
• Mind Cafe LLC
• Ambar S Miranda Rivera, RN
• Isamarie Montalvo, M.D.
• Zuleyka Montanez
• Maria D Morales
• Rosa Morales, TF
• Municipio de Juncos
• Municipio de Juncos
• Municipio de Juncos

• General Practice Physician in Juncos, PR
• Providers in Juncos, 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 Feb 10, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.