Healthcare Provider Details

I. General information

NPI: 1184553679
Provider Name (Legal Business Name): GABRIELA MORALES VAZQUEZ DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AVE. TENIENTE NELSON MARTINEZ URB. ALTURAS DE FLAMBOYAN FF-18
BAYAMON PR
00959
US

IV. Provider business mailing address

HC 71 BOX 3247
NARANJITO PR
00719-9556
US

V. Phone/Fax

Practice location:
  • Phone: 787-397-1614
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1101
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: