Individual provider Active NPI

Gabriel Pabon Morales, MD

  • General Practice Physician
  • Coto Laurel, PR
National Provider Identifier
1750911145
Registry record updated May 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
21648 Issued in PR
Practice address
Hacienda Juliana
#48 Calle Robustiana
Coto Laurel, PR 00780
Phone
(787) 974-4012
NPI assigned
Jan 24, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2020

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 21648 PR Primary

Addresses

Primary practice location

Hacienda Juliana
#48 Calle Robustiana
Coto Laurel, PR 00780

Mailing address

Hacienda Juliana
#48 Calle Robustiana
Coto Laurel, PR 00780
Phone (787) 974-4012

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
I20200526000828 PR Practitioner - General Practice 7911328109 Reassigns benefits to 2 organizations
Practice locations: Coto Laurel, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21648PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Medical Center Inc General Practice CurrentSince Mar 1, 2021 Accepting new patients
Primary Medical Center, Inc CurrentSince Mar 1, 2021 Accepting new patients

Locations

24 Calle Mendez Vigo
Ponce, PR 00730
Phone (787) 492-3197

607 Calle Ferrocarril
Ponce, PR 00717
Phone (787) 259-7219

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": "1579824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1750911145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HACIENDA JULIANA",
            "address_2": "#48 CALLE ROBUSTIANA",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "00780",
            "telephone_number": "787-974-4012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HACIENDA JULIANA",
            "address_2": "#48 CALLE ROBUSTIANA",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "00780",
            "telephone_number": "787-974-4012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PABON MORALES",
        "first_name": "GABRIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-24",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coto Laurel, PR

Sources for this page

Verify at the official NPI Registry.