Moises Alomar Sr., RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

87463 Issued in PR

Practice address

Sabana Seca
PR-867 KM 2.2
Toa Baja, PR 00952

Phone

(787) 641-0773

NPI assigned

Nov 19, 2018

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1542585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1750850855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 LA GRANJA",
            "city": "MOROVIS",
            "state": "PR",
            "postal_code": "006879150",
            "telephone_number": "939-339-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SABANA SECA",
            "address_2": "PR-867 KM 2.2",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00952",
            "telephone_number": "787-641-0773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "316 La Granja",
            "address_purpose": "LOCATION",
            "city": "Morovis",
            "state": "PR",
            "postal_code": "006879150",
            "country_code": "US",
            "telephone_number": "939-339-3707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALOMAR",
        "first_name": "MOISES",
        "name_suffix": "Sr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-19",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "PR",
            "license": "87463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "87463",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "6171615",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Registered Nurse in Toa Baja, PR
• Providers in Toa Baja, PR by specialty
• General Practice Registered Nurse in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; 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.