Individual provider Active NPI

Javier S Morales-Rodriguez, MD

  • General Practice Physician
  • Guaynabo, PR
National Provider Identifier
1417585456
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
021672 Issued in PR
Practice address
111 Calle Cecilio Urbina
Guaynabo, PR 00969-5958
Phone
(787) 718-3901
NPI assigned
Mar 27, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 021672 PR Primary

Addresses

Primary practice location

111 Calle Cecilio Urbina
Guaynabo, PR 00969-5958

Mailing address

113 Calle Jaime Pericas
Bayamon, PR 00961-2916
Phone (787) 718-3901

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address javysmoralesrodriguezmd@hotmail.com Health Information Exchange (HIE)
Direct Messaging Address javysmoralesrodriguezmd@hotmail.com Health Information Exchange (HIE)

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
I20221018003268 PR Practitioner - General Practice 1052711553 Reassigns benefits to 1 organization
Practice locations: Guaynabo, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
021672PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inspira Behavioral Care Corp. CurrentSince Feb 20, 2024 Accepting new patients
Inspira Behavioral Care Corp CurrentSince Feb 20, 2024 Accepting new patients
Inspira Behavioral Care Corp. Current Accepting new patients

Organizations & group practices 3

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": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1417585456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 CALLE JAIME PERICAS",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009612916",
            "telephone_number": "787-718-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CALLE CECILIO URBINA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695958",
            "telephone_number": "787-718-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES-RODRIGUEZ",
        "first_name": "JAVIER",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-27",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "021672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "javysmoralesrodriguezmd@hotmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "111 Calle Cecilio Urbina",
            "city": "Guaynabo",
            "state": "PR",
            "country_code": "US",
            "postal_code": "009695958",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "javysmoralesrodriguezmd@hotmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "111 Calle Cecilio Urbina",
            "city": "Guaynabo",
            "state": "PR",
            "country_code": "US",
            "postal_code": "009695958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.