Healthcare Provider Details

I. General information

NPI: 1407917024
Provider Name (Legal Business Name): MORAIMA M. JURADO BEQUER M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

EDIF LA PALMA 14 CALLE PERAL ESQ. DE DIEGO SUITE 2-D
MAYAGUEZ PR
00680-4861
US

IV. Provider business mailing address

D39 CALLE MONTE MEMBRILLO
CAROLINA PR
00987-8009
US

V. Phone/Fax

Practice location:
  • Phone: 787-831-3497
  • Fax:
Mailing address:
  • Phone: 787-543-8936
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number594
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number594
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: