Healthcare Provider Details

I. General information

NPI: 1427811348
Provider Name (Legal Business Name): KARLA MICHELLE MORALES ALVAREZ MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/02/2024
Last Update Date: 02/02/2024
Certification Date: 02/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR. 129 KILOMETRO 21.4
LARES PR
00669
US

IV. Provider business mailing address

HC 1 BOX 4042
LARES PR
00669-9614
US

V. Phone/Fax

Practice location:
  • Phone: 787-472-1901
  • Fax:
Mailing address:
  • Phone: 787-472-1901
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number14531
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: