Healthcare Provider Details

I. General information

NPI: 1396624136
Provider Name (Legal Business Name): CAROLINE MORALES PEREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2025
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 NW 76TH DR
GAINESVILLE FL
32607-6668
US

IV. Provider business mailing address

PO BOX 955
LARES PR
00669-0955
US

V. Phone/Fax

Practice location:
  • Phone: 352-505-6363
  • Fax: 352-505-6383
Mailing address:
  • Phone: 787-941-3026
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number7813
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSZ13432
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: