Healthcare Provider Details

I. General information

NPI: 1598422248
Provider Name (Legal Business Name): PAMELA M. MORALES CORTES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/17/2021
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

258 CALLE SAN JORGE
SAN JUAN PR
00912
US

IV. Provider business mailing address

1975 CALLE SANDALO
GUAYNABO PR
00969-3940
US

V. Phone/Fax

Practice location:
  • Phone: 787-727-1000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number8523
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: