MEDICARE: CAROL MORALES M.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	207R00000X	Internal Medicine Physician	1578981783	NM

General Provider Information

NPI Number	:	1578981783
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROL MORALES M.D.

Provider Business Mailing Address
First Line	:	MSC 10 5550 1 UNIVERSITY OF NEW MEXICO
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87131-0001
Country	:	US
Telephone Number	:	505-272-4661
Fax Number	:	505-272-4628

Provider Business Practice Location Address
First Line	:	1501 SAN PEDRO DR SE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87108-5180
Country	:	US
Telephone Number	:	505-265-1711
Fax Number	:	505-272-4628

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

Provider Enumeration Date	:	04/03/2014
Last Update Date	:	04/28/2020

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Directions to “ CAROL MORALES M.D.” Practice Location

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