Active NPI
Reinaldo L. Roman Morales, M.D.
- Ophthalmology Physician
- San Juan, PR
National Provider Identifier
1386609741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 4131
- Practice address
- 1173 Calle Maximo Alomar
Urb. San Agustin
San Juan, PR 00923-3231 - Phone
- (787) 751-7791
- Fax
- (787) 767-3261
- NPI assigned
- Apr 19, 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 4131 | PR | Primary |
Addresses
Primary practice location
1173 Calle Maximo Alomar
Urb. San Agustin
San Juan, PR 00923-3231
Mailing address
1173 Calle Maximo Alomar
Urb. San Agustin
San Juan, PR 00923-3231
Phone (787) 751-7791
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95744 | Other | PR | SSS |
| 600547 | Other | PR | MEDICARE Y MUCHO MAS |
| 63621 | Other | PR | CRUZ AZUL |
| 95744 | Other | PR | TRIPLE C |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4131 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299542400000",
"number": "1386609741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1173 CALLE MAXIMO ALOMAR",
"address_2": "URB. SAN AGUSTIN",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009233231",
"telephone_number": "787-751-7791",
"fax_number": "787-767-3261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1173 CALLE MAXIMO ALOMAR",
"address_2": "URB. SAN AGUSTIN",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009233231",
"telephone_number": "787-751-7791",
"fax_number": "787-767-3261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMAN MORALES",
"first_name": "REINALDO",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2011-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "PR",
"license": "4131",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SSS",
"identifier": "95744",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE Y MUCHO MAS",
"identifier": "600547",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRUZ AZUL",
"identifier": "63621",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE C",
"identifier": "95744",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.