Individual provider Active NPI

Juan D Morales, O.D.

  • Optometrist
  • Hato Rey, PR
National Provider Identifier
1689714099
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
609 Issued in PR
Practice address
Calle Eleanor Roosevelt #118
Inter American University School of Optometry
Hato Rey, PR 00919
Phone
(787) 765-1915
NPI assigned
Feb 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 609 PR Primary

Addresses

Primary practice location

Calle Eleanor Roosevelt #118
Inter American University School of Optometry
Hato Rey, PR 00919

Mailing address

PO Box 1560
Carolina, PR 00984-1560
Phone (787) 752-3200

Other identifiers 1

IdentifierTypeStateIssuer
215937OtherPRPREFERRED HEALTH INS.

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190411000448 PR Practitioner - Optometry 8426399858 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
609PRMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Servicios de Salud Primarios de Barceloneta, Inc. CurrentSince Jan 13, 2025 Accepting new patients
Servicios de Salud Primarios de Barceloneta, Inc. CurrentSince Jan 13, 2025 Accepting new patients
Servicios de Salud Primarios de Barceloneta, Inc. Current Accepting new patients

Organizations & group practices 3

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": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689714099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1560",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009841560",
            "telephone_number": "787-752-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE ELEANOR ROOSEVELT #118",
            "address_2": "INTER AMERICAN UNIVERSITY SCHOOL OF OPTOMETRY",
            "city": "HATO REY",
            "state": "PR",
            "postal_code": "00919",
            "telephone_number": "787-765-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES",
        "first_name": "JUAN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH INS.",
            "identifier": "215937",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hato Rey, PR

Sources for this page

Verify at the official NPI Registry.