Healthcare Provider Details

I. General information

NPI: 1780322933
Provider Name (Legal Business Name): DR PEDRO FARINACCI MORALES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2022
Last Update Date: 09/22/2022
Certification Date: 09/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HOSPITAL DAMAS 2213 PONCE BY PASS
PONCE PR
00717
US

IV. Provider business mailing address

PO BOX 780
MERCEDITA PR
00715-0780
US

V. Phone/Fax

Practice location:
  • Phone: 787-840-8686
  • Fax: 787-812-0565
Mailing address:
  • Phone: 787-840-8686
  • Fax: 787-812-0565

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PEDRO FARINACCI MORALES
Title or Position: PRESIDENT
Credential: MD
Phone: 787-841-1949