Individual provider Active NPI

Evelyn A. Zeda-Morales, MD

  • Obstetrics & Gynecology Physician
  • San Juan, PR
National Provider Identifier
1295852580
Registry record updated Mar 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
15404 Issued in PR
Practice address
550 Ave Constitucion
San Juan
San Juan, PR 00901-2321
Phone
(787) 380-1072
NPI assigned
Mar 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 15404 PR Primary

Addresses

Primary practice location

550 Ave Constitucion
San Juan
San Juan, PR 00901-2321

Mailing address

550 Ave Constitucion
San Juan
San Juan, PR 00901-2321
Phone (787) 380-1072

Other identifiers 1

IdentifierTypeStateIssuer
15404OtherPRMEDICAL LICENSE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080430000497 PR Practitioner - Obstetrics/Gynecology 4183703275 Practice locations: San Juan, PR; Trujillo Alto, PR

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University Central del Caribe Escuela de Medicina, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

101 Ave San Patricio
Maramar Plaza Suite 1130
Guaynabo, PR 00968-3050

525 Ave Roosenvelt
San Juan, PR 00918
Phone (787) 282-6675

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15404PRMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Einstein Community Health Associates, Inc Past Accepting new patients

Organizations & group practices 1

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": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489708800000",
    "number": "1295852580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 AVE CONSTITUCION",
            "address_2": "SAN JUAN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009012321",
            "telephone_number": "787-380-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 AVE CONSTITUCION",
            "address_2": "SAN JUAN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009012321",
            "telephone_number": "787-380-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEDA-MORALES",
        "first_name": "EVELYN",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2017-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "15404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "15404",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.