Individual
MRS. WILMARIE MORALES HERNANDEZ I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
BO. JUAN MARTIN, CARR 901 KM 1.6, CIDRA, PR 00739-0000
(787) 739-8182
(787) 739-8190
Mailing address
PO BOX 1330, CIDRA, PR 00739-1330
(787) 739-8182
(787) 739-8190
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7202
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0082042
PTAN
PR
Enumeration date
07/27/2022
Last updated
10/04/2024
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