Healthcare Provider Details

I. General information

NPI: 1508776998
Provider Name (Legal Business Name): DR. NANCY IVETTE MORALES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PALACIOS DE MARBELLA 943 B10
TOA ALTA PR
00953
US

IV. Provider business mailing address

PALACIOS DE MARBELLA 943 B10
TOA ALTA PR
00953
US

V. Phone/Fax

Practice location:
  • Phone: 787-604-8656
  • Fax:
Mailing address:
  • Phone: 787-604-8656
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number005207
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: