Healthcare Provider Details

I. General information

NPI: 1609713544
Provider Name (Legal Business Name): MAYA LOURDES MORALES M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 10TH AVE N THE BILLINGS CLINIC
BILLINGS MT
59101
US

IV. Provider business mailing address

12 CALLE 6-50 ZONA 14 ATTICA 2
GUATEMALA GUATEMALA
01014
GT

V. Phone/Fax

Practice location:
  • Phone: 406-657-4000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: