Hazel M. Kelly Moreno

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6374 Issued in PR

Practice address

Carr 2 Int 417 Edificio Pucho Pool Local 202 Base 16
Aguada, PR 00602-9998

Phone

(787) 973-9686

NPI assigned

Aug 29, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Costa Salud Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Rincon, PR
  • NPI 1912997768
  Medicare reassignment NPD
• Costa Salud Community Health Centers, Inc

  • Clinical Medical Laboratory
  • Moca, PR
  • NPI 1396517082
  NPD
• Costa Salud Community Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Aguada, PR
  • NPI 1568876753
  NPD

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

{
    "created_epoch": "1724889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1780418954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CARRETERA 2 INT. 417 , EDIFICIO PONCHO POOL CENTER",
            "address_2": "LOCAL 202",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006029998",
            "telephone_number": "787-973-9686",
            "fax_number": "999-999-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 2 INT 417 EDIFICIO PUCHO POOL LOCAL 202 BASE 16",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006029998",
            "telephone_number": "787-973-9686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY MORENO",
        "first_name": "HAZEL",
        "middle_name": "M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-29",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "6374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Jimenez Ruiz
• Lynoshka Shanice Jimenez Vega, PSYD
• Joshuas Ambulance
• Barbara Julia Lopez, MD
• Karynell Corporation
• Kya Medical Health Services
• La Cruz de Colon Pharmacy, Inc
• Gustavo Abdiel Laabes Gonzalez, M.D.
• Laabes Medical PSC
• Laboratorio Clinica San Francisco

• Clinical Psychologist in Aguada, PR
• Providers in Aguada, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.