Individual provider Active NPI

Carlos R Moyka Rebman

  • General Practice Physician
  • Toa Baja, PR
National Provider Identifier
1861405953
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
4669 Issued in PR
Practice address
HF16 Calle Lizzie Graham
7Ma Seccion Levittown
Toa Baja, PR 00949-3634
Phone
(787) 795-2935
Fax
(787) 784-0680
NPI assigned
Aug 13, 2006
Last updated
May 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2026

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 4669 PR Primary

Addresses

Primary practice location

HF16 Calle Lizzie Graham
7Ma Seccion Levittown
Toa Baja, PR 00949-3634

Mailing address

PO Box 51513
Toa Baja, PR 00950-1513
Phone (787) 795-2935

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4669PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
CRM Group Practice PastSince Jul 1, 2004 Accepting new patients

Organizations & group practices 1

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": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1861405953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51513",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009501513",
            "telephone_number": "787-795-2935",
            "fax_number": "787-784-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HF16 CALLE LIZZIE GRAHAM",
            "address_2": "7MA SECCION LEVITTOWN",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009493634",
            "telephone_number": "787-795-2935",
            "fax_number": "787-784-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYKA REBMAN",
        "first_name": "CARLOS",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "4669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Baja, PR

Sources for this page

Verify at the official NPI Registry.