Individual
DR. LUIS IVAN MORELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
STREET 355 FORMALTELO AVE., SUITE 402, HUMACAO, PR 00792
(787) 850-8217
(787) 850-8217
Mailing address
PO BOX 486, 100 GRAND BLVD PASEOS, BAYAMON, PR 00960-0486
(787) 850-8217
(787) 850-8217
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
13230
PR
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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