Ricardo Galvez Moreno, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

23905 Issued in PR

Practice address

1 Parq de Las Gaviotas Apt 401
Sabana Seca, PR 00952-4029

Phone

(787) 988-0309

NPI assigned

Apr 24, 2023

Last updated

Jun 17, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1619664141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CALLE TIAGOSAN",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009569222",
            "telephone_number": "702-485-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PARQ DE LAS GAVIOTAS APT 401",
            "city": "SABANA SECA",
            "state": "PR",
            "postal_code": "009524029",
            "telephone_number": "787-988-0309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALVEZ MORENO",
        "first_name": "RICARDO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-24",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Amezquita, LCSW
• Elsie Cruz, MT
• Erika Cruz
• Farmacia Gladys Inc
• Charlene Stephanie Marie Fields, PSY.D
• Lizbette M Guerrido
• Erica Ivellisse Lamourt Rodriguez, MD
• Jahnnilys Lopez
• Lizsonette Medina de Jesus
• Pedro Juan Morales, PH.D.

• General Practice Physician in Sabana Seca, PR
• Providers in Sabana Seca, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.