Jose N. Moreno, M.D., C.S.P.

Primary specialty

SpecialistTaxonomy code 174400000X

License

003254 Issued in PR

Legal business name

JOSE N. MORENO, M.D., C.S.P.

Practice address

1 Calle Santa Cruz, Oficina 605,
Torre San Pablo, PR 00961-7035

Phone

(305) 710-4484

NPI assigned

Aug 27, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Jose N Moreno Torres, M.D.

Title

President

Phone

(305) 710-4484

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428883200000",
    "number": "1225438286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CALLE SANTA CRUZ, OFICINA 605,",
            "city": "TORRE SAN PABLO",
            "state": "PR",
            "postal_code": "009617035",
            "telephone_number": "787-758-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CALLE SANTA CRUZ, OFICINA 605,",
            "city": "TORRE SAN PABLO",
            "state": "PR",
            "postal_code": "009617035",
            "telephone_number": "305-710-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE N. MORENO, M.D., C.S.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-27",
        "last_updated": "2015-04-13",
        "status": "A",
        "authorized_official_last_name": "MORENO TORRES",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-710-4484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PR",
            "license": "003254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN 07441S",
            "identifier": "07441S",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; 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.