Individual provider Active NPI

Lissette Morales-Ferrer, D.M.D.

  • General Practice Dentistry
  • Naranjito, PR
National Provider Identifier
1568509982
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2318 Issued in PR
Practice address
2 Sect El Abanico
Naranjito, PR 00719-3804
Phone
(787) 869-3387
Fax
(787) 869-1986
NPI assigned
Feb 1, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2318 PR Primary

Addresses

Primary practice location

2 Sect El Abanico
Naranjito, PR 00719-3804

Mailing address

2 Sect El Abanico
Naranjito, PR 00719-3804
Phone (787) 869-3387

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151023001498 PR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3870802960

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2318PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Victor Vega Morales LLC PastSince May 1, 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": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568509982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SECT EL ABANICO",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "007193804",
            "telephone_number": "787-869-3387",
            "fax_number": "787-869-1986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SECT EL ABANICO",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "007193804",
            "telephone_number": "787-869-3387",
            "fax_number": "787-869-1986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES-FERRER",
        "first_name": "LISSETTE",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naranjito, PR

Sources for this page

Verify at the official NPI Registry.