Dalmarys Moreno, M.D.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

11231I Issued in PR

Practice address

Calle Marina # 6
Corozal, PR 00783

Phone

(787) 859-1062

Fax

(787) 859-2596

NPI assigned

Sep 3, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220400000000",
    "number": "1568610673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC03 BOX 17363",
            "address_2": "BO. NEGROS",
            "city": "COROZAL",
            "state": "PR",
            "postal_code": "007839817",
            "telephone_number": "787-516-5734",
            "fax_number": "787-859-2596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE MARINA # 6",
            "city": "COROZAL",
            "state": "PR",
            "postal_code": "00783",
            "telephone_number": "787-859-1062",
            "fax_number": "787-859-2596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "DALMARYS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PR",
            "license": "11231I",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LISCENCE NUM. 4108049",
            "identifier": "17283",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mercado Health LLC
• Adalberto Molina, OD
• Yamil Morales Garcia, OTA/L
• Ashley Ann Morales Rivera, DC
• Marie Yelitza Morales
• Municipio de Corozal
• Naiver Corp
• Nefromd PSC.
• Alwin Negron-Rivera, M.D.
• Pedro Nevarez

• Medical Physician Assistant in Corozal, PR
• Providers in Corozal, PR by specialty
• Medical Physician Assistant in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.