Healthcare Provider Details

I. General information

NPI: 1396734729
Provider Name (Legal Business Name): CALIMAR D MORALES-SANCHEZ SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/18/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 INFANTERIA SAN JUAN AGING CENTER COMPLEJO MEDICO SOICAL ANTILLAS
SAN JUAN PR
00928
US

IV. Provider business mailing address

COND LA SIERRA DEL SOL APT 111 G
SAN JUAN PR
00926-4316
US

V. Phone/Fax

Practice location:
  • Phone: 787-767-7676
  • Fax:
Mailing address:
  • Phone: 787-642-6316
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number606
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: