Individual provider Active NPI

Esperanza G. Morales

  • Contractor
  • Rio Rico, AZ
National Provider Identifier
1417198698
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
432869 Issued in AZ
Practice address
922 Cerrado Sanchez
Rio Rico, AZ 85648-2825
Phone
(520) 721-1887
Fax
(520) 407-5398
NPI assigned
Mar 17, 2009
Last updated
Nov 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 432869 AZ Primary

Addresses

Primary practice location

922 Cerrado Sanchez
Rio Rico, AZ 85648-2825

Mailing address

922 Cerrado Sanchez
Rio Rico, AZ 85648-2825
Phone (520) 358-7061

Other practice location 1

2929 W Capistrano Rd
Tucson, AZ 85746-5026
Phone (520) 358-7061

Other identifiers 1

IdentifierTypeStateIssuer
432869OtherAZSTATE OF ARIZONA OFFICE OF LICENSING, CERTIFICATION AND REGULATION

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
432869AZMDContractor

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Centers for Human Development Inc. PastSince Nov 20, 2022 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1417198698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 CERRADO SANCHEZ",
            "city": "RIO RICO",
            "state": "AZ",
            "postal_code": "856482825",
            "telephone_number": "520-358-7061",
            "fax_number": "520-407-5398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 CERRADO SANCHEZ",
            "city": "RIO RICO",
            "state": "AZ",
            "postal_code": "856482825",
            "telephone_number": "520-721-1887",
            "fax_number": "520-407-5398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2929 W Capistrano Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857465026",
            "country_code": "US",
            "telephone_number": "520-358-7061",
            "fax_number": "520-750-0056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORALES",
        "first_name": "ESPERANZA",
        "middle_name": "G.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-17",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "AZ",
            "license": "432869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ARIZONA OFFICE OF LICENSING, CERTIFICATION AND REGULATION",
            "identifier": "432869",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rico, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; 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.