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Individual

DR. VIMAEL MORALES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
URB. MARIANI 1577 MUNOZ RIVERA AVE, SUITE 2, PONCE, PR 00717-0211
(787) 841-5515
Mailing address
PO BOX 406, GUANICA, PR 00653-0406
(787) 821-2986

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
823
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
40726
TRIPLE S,INC.
PR
Enumeration date
03/20/2006
Last updated
05/02/2013
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