Healthcare Provider Details

I. General information

NPI: 1093565210
Provider Name (Legal Business Name): LUISA MORALES FIGUEROA PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/22/2024
Last Update Date: 03/22/2024
Certification Date: 03/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 854 KM 3.5 CALLE LUIS MUNOZ RIVERA
TOA BAJA PR
00951-2662
US

IV. Provider business mailing address

PO BOX 2464
TOA BAJA PR
00951-2464
US

V. Phone/Fax

Practice location:
  • Phone: 787-794-0020
  • Fax:
Mailing address:
  • Phone: 787-794-0020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number1325
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: