Healthcare Provider Details

I. General information

NPI: 1609789346
Provider Name (Legal Business Name): SUAIH MORALES NP STUDENT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

RR 4 BOX 3479
BAYAMON PR
00956-9416
US

IV. Provider business mailing address

RR 4 BOX 3479
BAYAMON PR
00956-9416
US

V. Phone/Fax

Practice location:
  • Phone: 939-625-7492
  • Fax:
Mailing address:
  • Phone: 939-625-7492
  • 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 StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: