Healthcare Provider Details

I. General information

NPI: 1407513831
Provider Name (Legal Business Name): HECTOR MORALES DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/19/2021
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

443 SHORELINE BLVD
BOILING SPRINGS SC
29316-6162
US

IV. Provider business mailing address

443 SHORELINE BLVD
BOILING SPRINGS SC
29316-6162
US

V. Phone/Fax

Practice location:
  • Phone: 786-420-0187
  • Fax:
Mailing address:
  • Phone: 707-440-9007
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License NumberCH13646
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License Number5349
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License Number5046
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: