Carlos Gustavo Moreno Velez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

16734 Issued in PR

Practice address

Plaza Tropical Mall Carr. 167 KM.22.0
Bayamon, PR 00959

Phone

(787) 641-0774

NPI assigned

Jan 12, 2024

Last updated

Jan 12, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1619748175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URBANIZACION REXVILLE",
            "address_2": "CALLE 6 G-8",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00957",
            "telephone_number": "787-447-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLAZA TROPICAL MALL CARR. 167 KM.22.0",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-641-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO VELEZ",
        "first_name": "CARLOS",
        "middle_name": "GUSTAVO",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-12",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "16734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonia Morales, DMD
• Suaih Morales, NP STUDENT
• Vivian Morales
• Martha Noemi Moraza
• Juan Alberto Moreno Padilla, NL
• Luz Moreno
• Maritzel Ana Moreno, MD
• Gialys Natali Moreta Castillo, MD
• Lorenny S Moreta Castillo
• Gustavo Jose Morey Cruz, DPT

• Clinical Social Worker in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Clinical Social Worker in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.