Individual provider Active NPI

Wilmarie Morales Hernandez I, MD

  • Clinical Psychologist
  • Cidra, PR
National Provider Identifier
1841926235
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7202 Issued in PR
Practice address
Bo. Juan Martin
Carr 901 KM 1.6
Cidra, PR 00739-0000
Phone
(787) 739-8182
Fax
(787) 739-8190
NPI assigned
Jul 27, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 7202 PR Primary

Addresses

Primary practice location

Bo. Juan Martin
Carr 901 KM 1.6
Cidra, PR 00739-0000

Mailing address

PO Box 1330
Cidra, PR 00739-1330
Phone (787) 739-8182

Other identifiers 1

IdentifierTypeStateIssuer
0082042OtherPRPTAN

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250219001646 PR Practitioner - Clinical Psychologist 0446770515 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cossma, Inc. CurrentSince Jan 30, 2025 Accepting new patients
Cossma Inc CurrentSince Jan 30, 2025 Accepting new patients

Organizations & group practices 2

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": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1841926235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1330",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007391330",
            "telephone_number": "787-739-8182",
            "fax_number": "787-739-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO. JUAN MARTIN",
            "address_2": "CARR 901 KM 1.6",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007390000",
            "telephone_number": "787-739-8182",
            "fax_number": "787-739-8190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES HERNANDEZ",
        "first_name": "WILMARIE",
        "name_prefix": "Mrs.",
        "name_suffix": "I",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-27",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "7202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "0082042",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cidra, PR

Sources for this page

Verify at the official NPI Registry.