Healthcare Provider Details

I. General information

NPI: 1710552922
Provider Name (Legal Business Name): CLARIBEL MORALES RAMIREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2021
Last Update Date: 05/21/2021
Certification Date: 05/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

COND SAN VICENTE 8169 CALE CONCORDIA SUITE 412
PONCE PR
00717-1563
US

IV. Provider business mailing address

COND SAN VICENTE 8169 CALLE CONCORDIA SUITE 412
PONCE PR
00717-5163
US

V. Phone/Fax

Practice location:
  • Phone: 787-284-5884
  • Fax: 787-284-5874
Mailing address:
  • Phone: 787-284-5884
  • Fax: 787-284-5874

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: