Neuromovement MMG, LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

NEUROMOVEMENT MMG, LLC

Practice address

133 Calle Manuel Domenech
San Juan, PR 00918-3501

Phone

(787) 399-1551

NPI assigned

Feb 28, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Melissa A Morales Garcia, MDNPI 1063901304

Title

President

Phone

(787) 399-1551

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Neuromovement MMG, LLC Other name

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa Annette Morales Garcia, MD

  • Neurology Physician
  • San Juan, PR
  • NPI 1063901304
  Medicare reassignment NPD Authorized official
• Marina E Rivera-Virella, M.D.

  • Neurology Physician
  • San Juan, PR
  • NPI 1972616563
  NPD (past)

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

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1639878697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 AVE. FELISA RINCON DE GAUTIER",
            "address_2": "CONDOMINIO PASEO MONTE APT 1501",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 CALLE MANUEL DOMENECH",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183501",
            "telephone_number": "787-399-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROMOVEMENT MMG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-28",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-25",
        "status": "A",
        "authorized_official_last_name": "MORALES GARCIA",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-399-1551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL  STATE LICENSE",
            "identifier": "21514",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neuromovement MMG, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Neurology Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Neurology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.