Healthcare Provider Details

I. General information

NPI: 1750850855
Provider Name (Legal Business Name): MOISES ALOMAR SR. RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/19/2018
Last Update Date: 09/29/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

SABANA SECA PR-867 KM 2.2
TOA BAJA PR
00952
US

IV. Provider business mailing address

316 LA GRANJA
MOROVIS PR
00687-9150
US

V. Phone/Fax

Practice location:
  • Phone: 787-641-0773
  • Fax:
Mailing address:
  • Phone: 939-339-3707
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number87463
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: