Individual provider Active NPI

Pedro Juan Morales, PH.D.

  • Clinical Psychologist
  • Sabana Seca, PR
National Provider Identifier
1396907978
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
876 Issued in PR
Practice address
69 Via Arco Iris
Urb. Mansion del Sol
Sabana Seca, PR 00952-4045
Phone
(787) 923-8281
NPI assigned
Jun 25, 2008
Last updated
Jun 25, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 876 PR Primary

Addresses

Primary practice location

69 Via Arco Iris
Urb. Mansion del Sol
Sabana Seca, PR 00952-4045

Mailing address

69 Via Arco Iris
Urb. Mansion del Sol
Sabana Seca, PR 00952-4045
Phone (787) 923-8281

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 Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214352000000",
    "number": "1396907978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 VIA ARCO IRIS",
            "address_2": "URB. MANSION DEL SOL",
            "city": "SABANA SECA",
            "state": "PR",
            "postal_code": "009524045",
            "telephone_number": "787-923-8281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 VIA ARCO IRIS",
            "address_2": "URB. MANSION DEL SOL",
            "city": "SABANA SECA",
            "state": "PR",
            "postal_code": "009524045",
            "telephone_number": "787-923-8281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES",
        "first_name": "PEDRO",
        "middle_name": "JUAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sabana Seca, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.