Individual
DR. IVELISSE MORALES
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
143-6 CALLE 401, VILLA CAROLINA, CAROLINA, PR 00985-4022
(787) 564-6408
(787) 776-5461
Mailing address
59-5 CALLE 46, VILLA CAROLINA, CAROLINA, PR 00985-5542
(787) 564-6408
(787) 776-5461
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1680
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
187
MCS-HMO (APS)
PR
01
—
2303
HUMANA HEALTH (APS)
PR
Enumeration date
03/09/2006
Last updated
07/08/2007
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