Healthcare Provider Details

I. General information

NPI: 1881515724
Provider Name (Legal Business Name): LISYAIMA LAUREANO MORALES MPH,CHES,CDI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URB SAN LORENZO VALLEY 182 CALLE FLAMBOYAN
SAN LORENZO PR
00754-9812
US

IV. Provider business mailing address

URB SAN LORENZO VALLEY 182 G3 CALLE FLAMBOYAN
SAN LORENZO PR
00754-9812
US

V. Phone/Fax

Practice location:
  • Phone: 787-516-8998
  • Fax:
Mailing address:
  • Phone: 787-516-8998
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number3420
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number39123
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: