MEDICARE: GABRIELA MORALES VAZQUEZ DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	1101	PR

General Provider Information

NPI Number	:	1184553679
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GABRIELA MORALES VAZQUEZ DC

Provider Business Mailing Address
First Line	:	HC 71 BOX 3247
Second Line	:
City	:	NARANJITO
State	:	PR
Zip	:	00719-9556
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	AVE. TENIENTE NELSON MARTINEZ
Second Line	:	URB. ALTURAS DE FLAMBOYAN FF-18
City	:	BAYAMON
State	:	PR
Zip	:	00959
Country	:	US
Telephone Number	:	787-397-1614
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/19/2026
Last Update Date	:	05/19/2026

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