Healthcare Provider Details

I. General information

NPI: 1740098649
Provider Name (Legal Business Name): EUNICE MORALES-RODRIGUEZ BSN-RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/23/2024
Last Update Date: 12/23/2024
Certification Date: 12/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 CALLE CASIA
SAN JUAN PR
00921-3200
US

IV. Provider business mailing address

SAN JUAN VA MEDICAL CENTER 10 CASIA STREET
SAN JUAN PR
00921
US

V. Phone/Fax

Practice location:
  • Phone: 787-641-7582
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number94714
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: