Healthcare Provider Details

I. General information

NPI: 1811787039
Provider Name (Legal Business Name): ARIANYS KRYSTAL MORALES MONTALVO DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/09/2025
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1051 AVE JESUS T PINERO
SAN JUAN PR
00920-5602
US

IV. Provider business mailing address

200 CARR 149 APT 205
MANATI PR
00674-9528
US

V. Phone/Fax

Practice location:
  • Phone: 787-321-5000
  • Fax:
Mailing address:
  • Phone: 787-413-0268
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1057
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: