Individual provider Active NPI

Miguel J Morales -Vales, M.D.

  • General Practice Physician
  • Fajardo, PR
National Provider Identifier
1699794982
Registry record updated Dec 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
9455 Issued in PR
Practice address
98 Calle Garrido Morales E
Oficina 102
Fajardo, PR 00738-4690
Phone
(787) 860-5140
Fax
(787) 860-5140
NPI assigned
Jul 18, 2006
Last updated
Dec 10, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 9455 PR Primary

Addresses

Primary practice location

98 Calle Garrido Morales E
Oficina 102
Fajardo, PR 00738-4690

Mailing address

PO Box 1323
Fajardo, PR 00738-1323
Phone (787) 860-5140

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081216000092 PR Practitioner - General Practice 0547322133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

98 Calle Garrido Morales E
Fajardo, PR 00738-4678
Phone (787) 860-5140

Garrido Morales Num
Suite 98
Fajardo, PR 00738-4678

Terrazas Demajagua
Fajardo, PR 00738-4678

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9455PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MV Healthcare CSP General Practice CurrentSince Aug 1, 2014 Accepting new patients

Locations

98 Calle Garrido Morales E
#102
Fajardo, PR 00738
Phone (787) 860-5140

98 Calle Garrido Morales E
Ofc 102
Fajardo, PR 00738

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418169600000",
    "number": "1699794982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1323",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007381323",
            "telephone_number": "787-860-5140",
            "fax_number": "787-860-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 CALLE GARRIDO MORALES E",
            "address_2": "OFICINA 102",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007384690",
            "telephone_number": "787-860-5140",
            "fax_number": "787-860-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES -VALES",
        "first_name": "MIGUEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2014-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "9455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fajardo, PR

Sources for this page

Verify at the official NPI Registry.