Individual provider Active NPI

Wilmarie Rivera Morales, M.D.

  • General Practice Physician
  • Cayey, PR
National Provider Identifier
1851604300
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
19701 Issued in PR
Practice address
Avenida Antonio R.Barcelo #14
KM 72.3
Cayey, PR 00736
Phone
(939) 283-9296
NPI assigned
Jul 26, 2010
Last updated
Mar 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 12564-I PR
General Practice Physician 208D00000X 19701 PR Primary

Addresses

Primary practice location

Avenida Antonio R.Barcelo #14
KM 72.3
Cayey, PR 00736

Mailing address

PO Box 1138
Comerio, PR 00782-1138

Other practice location 1

Bo. Naranjo PR-156
km 40.0
Comerio, PR 00782
Phone (787) 467-6151

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
I20190702002754 PR Practitioner - General Practice 1658605167 Reassigns benefits to 1 organization
Practice locations: Cayey, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19701PRMDGeneral Practice Physician
12564-IPRMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Los Pinos Medical Center LLC General Practice CurrentSince Oct 21, 2020 Accepting new patients
Three Y. LLC Current 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, 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": "1280102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1851604300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1138",
            "city": "COMERIO",
            "state": "PR",
            "postal_code": "007821138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVENIDA ANTONIO R.BARCELO #14",
            "address_2": "KM 72.3",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "00736",
            "telephone_number": "939-283-9296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Bo. Naranjo PR-156",
            "address_2": "km 40.0",
            "address_purpose": "LOCATION",
            "city": "Comerio",
            "state": "PR",
            "postal_code": "00782",
            "country_code": "US",
            "telephone_number": "787-467-6151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA MORALES",
        "first_name": "WILMARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-26",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "12564-I",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "19701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cayey, PR

Sources for this page

Verify at the official NPI Registry.