Active NPI
Juan A Moreira, M.D.
- Neurology Physician
- San Juan, PR
National Provider Identifier
1619032356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 11911
- Practice address
- Primer Piso, Hospital del Maestro
Sergio Bustamante 550
San Juan, PR 00918 - Phone
- (787) 767-6733
- NPI assigned
- Dec 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 11911 | PR | Primary |
Addresses
Primary practice location
Primer Piso, Hospital del Maestro
Sergio Bustamante 550
San Juan, PR 00918
Mailing address
55 Calle Orquidea
Santa Maria
San Juan, PR 00927-6726
Phone (787) 767-6733
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040819000887 | PR | Practitioner - Neurology | 8729051404 | Practice locations: San Juan, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- University of Puerto Rico School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physiotherapy Rehabilitation Services Inc
Practice addresses (Care Compare)
Uu43 Calle
Bayamon, PR 00956-4701
Phone (787) 787-8669
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro Neurologico del Caribe, LLC. | 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.
-
- Clinic/Center
- San Juan, PR
- NPI 1457126138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619032356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 CALLE ORQUIDEA",
"address_2": "SANTA MARIA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009276726",
"telephone_number": "787-767-6733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PRIMER PISO, HOSPITAL DEL MAESTRO",
"address_2": "SERGIO BUSTAMANTE 550",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00918",
"telephone_number": "787-767-6733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOREIRA",
"first_name": "JUAN",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "PR",
"license": "11911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.