Individual
MR. CARLOS A MORALES ALICEA SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
CARR 130 KM 10.3 INT, BO CAMPO ALEGRE, HATILLO, PR 00659-0000
(787) 820-3198
(787) 820-3198
Mailing address
PMB 073 PO BOX 8901, HATILLO, PR 00659-8901
(787) 820-3198
(787) 820-3198
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
TP161
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TP161
TP 161 BILLING NUMBER
PR
Enumeration date
02/09/2009
Last updated
02/09/2009
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