Individual provider Active NPI

Rafael A Moreta, M.D.

  • Specialist
  • Isabela, PR
National Provider Identifier
1235117045
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
8005 Issued in PR
Practice address
Ensanchez Gonzalez #53
Isabela, PR 00662-0778
Phone
(787) 872-0035
Fax
(787) 872-0035
NPI assigned
Jan 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 8005 PR Primary

Addresses

Primary practice location

Ensanchez Gonzalez #53
Isabela, PR 00662-0778

Mailing address

PO Box 778
Isabela, PR 00662-0778
Phone (787) 872-0035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210518000998 FL Practitioner - General Practice 0446669725 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8005PRMDHealth Service Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Department of Children and Families CurrentSince Feb 13, 2021 Accepting new patients
Florida Department of Children and Families Current Accepting new patients

Locations

7487 S State Road 121
Macclenny, FL 32063
Phone (904) 259-6211

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1235117045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 778",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006620778",
            "telephone_number": "787-872-0035",
            "fax_number": "787-872-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ENSANCHEZ GONZALEZ #53",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006620778",
            "telephone_number": "787-872-0035",
            "fax_number": "787-872-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORETA",
        "first_name": "RAFAEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "8005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Isabela, PR

Sources for this page

Verify at the official NPI Registry.