Individual
IBIS MORALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
JARDINES DE BAYAMONTE, 85 CALLE GORRION, BAYAMON, PR 00956-6639
(787) 740-1742
(787) 740-1742
Mailing address
JARDINES DE BAYAMONTE, 85 CALLE GORRION, BAYAMON, PR 00956-6639
(787) 740-1742
(787) 740-1742
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
8588
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2-9881
SSS PROVIDER NUMBER
PR
Enumeration date
01/03/2007
Last updated
07/08/2007
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