Individual provider Active NPI

Gladys Moreno Rodriguez, MT

  • Medical Technologist
  • Caguas, PR
National Provider Identifier
1609020437
Registry record updated Jun 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical TechnologistTaxonomy code 246QM0706X
License
1933 Issued in PR
Practice address
T17 Calle 10 Santa Juana 3
Caguas, PR 00725-2079
Phone
(787) 381-6940
NPI assigned
Nov 6, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Technologist 246QM0706X 1933 PR Primary

Addresses

Primary practice location

T17 Calle 10 Santa Juana 3
Caguas, PR 00725-2079

Mailing address

T17 Calle 10 Santa Juana 3
Caguas, PR 00725-2079
Phone (787) 381-6940

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
Credentials
Medical Technician

State licenses

LicenseStateTypeSpecialty
1933PRMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Gladys Moreno Rodriguez Current 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": "1225929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245888000000",
    "number": "1609020437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "T17 CALLE 10 SANTA JUANA 3",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007252079",
            "telephone_number": "787-381-6940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "T17 CALLE 10 SANTA JUANA 3",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007252079",
            "telephone_number": "787-381-6940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO RODRIGUEZ",
        "first_name": "GLADYS",
        "name_prefix": "Mrs.",
        "credential": "MT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-06",
        "last_updated": "2009-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246QM0706X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Medical Technologist",
            "state": "PR",
            "license": "1933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; 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.