Healthcare Provider Details

I. General information

NPI: 1588590129
Provider Name (Legal Business Name): ALANA MORALES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1473 CALLE WILSON STE 304
SAN JUAN PR
00907-2364
US

IV. Provider business mailing address

1473 CALLE WILSON STE 304
SAN JUAN PR
00907-2364
US

V. Phone/Fax

Practice location:
  • Phone: 787-489-0088
  • Fax:
Mailing address:
  • Phone: 787-489-0088
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberBACB1555453
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: