Active NPI
Rafael A Moreta, M.D.
- Specialist
- Isabela, PR
National Provider Identifier
1235117045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 8005
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8005 | PR | MD | Health Service Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Department of Children and Families | Current | 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.
-
- General Acute Care Hospital
- Chattahoochee, FL
- NPI 1710945118
-
- Psychiatric Hospital
- Macclenny, FL
- NPI 1013931765
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.