MEDICARE: NIRETZY MORALES PSY. D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	2878	PR

General Provider Information

NPI Number	:	1205091451
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NIRETZY MORALES PSY. D

Provider Business Mailing Address
First Line	:	RR 5 BOX 18651
Second Line	:
City	:	TOA ALTA
State	:	PR
Zip	:	00953-9218
Country	:	US
Telephone Number	:	787-545-2400
Fax Number	:

Provider Business Practice Location Address
First Line	:	HN48 CALLE GREGORIO LEDESMA
Second Line	:
City	:	TOA BAJA
State	:	PR
Zip	:	00949-3724
Country	:	US
Telephone Number	:	787-545-2400
Fax Number	:	787-545-2400

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2008
Last Update Date	:	05/11/2026

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