Individual
JESUS MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1450 WESTERN AVE STE 102, ALBANY, NY 12203-3539
(518) 463-0050
Mailing address
291 SOUTHHALL LN, MAITLAND, FL 32751-7274
(407) 667-0444
(407) 667-4338
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
751643
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN9359144
FL
367500000X
Certified Registered Nurse Anesthetist
ARNP9359144
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
BCBS
FL
05
—
PENDING
—
FL
Enumeration date
07/01/2015
Last updated
02/27/2026
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