DR. SERGIO RAFAEL MOURE-RODRIGUEZ M.D. NPI 1508869165

NPI Information

NPI: 1508869165
Provider Name: DR. SERGIO RAFAEL MOURE-RODRIGUEZ, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual

PECOS Registration: Yes

Address:
EDIF INSTITUTO SAN PABLO
SUITE 303
BAYAMON, PR
ZIP 00961
Phone: (787) 787-7191
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DR. Sergio Rafael Moure-rodriguez, M.D. is a specialist in Bayamon, PR. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Sergio Rafael Moure-rodriguez, M.D. NPI is 1508869165. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

EDIF INSTITUTO SAN PABLO
SUITE 303
BAYAMON, PR
ZIP 00961-041
Phone: (787) 787-7191
Fax: (787) 786-3667

The NPI 1508869165 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/27/2005 and was last updated on 1/13/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		8128	PUERTO RICO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	204040	OTHER	PUERTO RICO	PREFERRED HEALTH CARE
2	29466	MEDICARE ID-TYPE UNSPECIFIED	PUERTO RICO
3	960010	OTHER	PUERTO RICO	HUMANA HEALTH CARE
4	D32328	MEDICARE UPIN	PUERTO RICO
5	066345	OTHER	PUERTO RICO	LA CRUZ AZUL DE PR
6	29466	OTHER	PUERTO RICO	TRIPLE S
7	33-08128	OTHER	PUERTO RICO	UIA
8	0116	OTHER	PUERTO RICO	FIRST MEDICAL CARD SYSTEM

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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