Individual
MR. JUAN RICARDO MORALES SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
PALMA DORADA VILLAGE, EDIF J APT 1903, VEGA ALTA, PR 00692
(787) 779-9524
Mailing address
PALMA DORADA VILLAGE, EDIF J APT 1903, VEGA ALTA, PR 00692
(787) 779-9524
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
1667239
PR
Other
Enumeration date
04/01/2021
Last updated
04/01/2021
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