Individual provider Active NPI

Jose Manuel Morales Lora

  • General Practice Physician
  • Trujillo Alto, PR
National Provider Identifier
1477670792
Registry record updated Jun 13, 2022
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Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14202 Issued in PR
Practice address
LC35 Via Mayorca
L'Antigua Encantada
Trujillo Alto, PR 00976-6102
Phone
(787) 748-4089
NPI assigned
Mar 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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 14202 PR Primary

Addresses

Primary practice location

LC35 Via Mayorca
L'Antigua Encantada
Trujillo Alto, PR 00976-6102

Mailing address

LC35 Via Mayorca
L'Antigua Encantada
Trujillo Alto, PR 00976-6102
Phone (787) 748-4089

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
I20070509000103 PR Practitioner - General Practice 7315043221 Practice locations: San Juan, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14202PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Administracion de Servicios de Salud Mental Y Contra la Adiccion 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": "1655078400000",
    "number": "1477670792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LC35 VIA MAYORCA",
            "address_2": "L'ANTIGUA ENCANTADA",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009766102",
            "telephone_number": "787-748-4089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LC35 VIA MAYORCA",
            "address_2": "L'ANTIGUA ENCANTADA",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009766102",
            "telephone_number": "787-748-4089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES LORA",
        "first_name": "JOSE",
        "middle_name": "MANUEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trujillo Alto, PR

Sources for this page

Verify at the official NPI Registry.