Jonathan Olivera Morales, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

21658 Issued in PR

Practice address

Calle Desvio Victor Cruz #6
Juana Diaz, PR 00795

Phone

(787) 837-2265

NPI assigned

Feb 7, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Practice roles

Locations

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.

• Med Centro, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ponce, PR
  • NPI 1295727147

  General Practice

  Medicare reassignment NPD
• Preventive Health Services

  • Primary Care Clinic/Center
  • Ponce, PR
  • NPI 1316680390
  Medicare reassignment NPD
• Med Centro, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ponce, PR
  • NPI 1669097374
  NPD

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

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581033600000",
    "number": "1275165284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 03 BOX 15234",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "00795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE DESVIO VICTOR CRUZ #6",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "00795",
            "telephone_number": "787-837-2265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVERA MORALES",
        "first_name": "JONATHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-07",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tania E Negron
• Norma I Medina Rivera
• Nulook Clinica Visual Familiar C.S.P.
• Sylvia Nunez
• Marilyn Ocasio Cedeno, PSY D.
• Optica Buena
• Optica Buena LLC
• Hernan Orengo, CRT
• Iris Janice Orta
• Hector Antonio Ortiz Miranda, M.D.

• General Practice Physician in Juana Diaz, PR
• Providers in Juana Diaz, 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 7, 2020; 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.