Individual provider Active NPI

Omar Ismael Morales Rosario

  • Student in an Organized Health Care Education/Training Program
  • Rio Grande, PR
National Provider Identifier
1205693777
Registry record updated Mar 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
Vistas de Rio Grande II #476 Calle Reina de Las Flores
Rio Grande, PR 00745
Phone
(787) 242-2861
NPI assigned
Mar 1, 2024
Last updated
Mar 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

Vistas de Rio Grande II #476 Calle Reina de Las Flores
Rio Grande, PR 00745

Mailing address

Vistas de Rio Grande II #476 Calle Reina de Las Flores
Rio Grande, PR 00745
Phone (787) 242-2861

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

NPI Registry JSON

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

{
    "created_epoch": "1709251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709337600000",
    "number": "1205693777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VISTAS DE RIO GRANDE II #476 CALLE REINA DE LAS FLORES",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "00745",
            "telephone_number": "787-242-2861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VISTAS DE RIO GRANDE II #476 CALLE REINA DE LAS FLORES",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "00745",
            "telephone_number": "787-242-2861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES ROSARIO",
        "first_name": "OMAR",
        "middle_name": "ISMAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-03-02",
        "certification_date": "2024-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Grande, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2024; 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.