MEDICARE: MILDRED M MORALES CASIANO

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	1041C0700X	Clinical Social Worker	13243	PR

General Provider Information

NPI Number	:	1346196052
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MILDRED M MORALES CASIANO

Provider Business Mailing Address
First Line	:	PO BOX 800689
Second Line	:
City	:	COTO LAUREL
State	:	PR
Zip	:	00780-0689
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	HOSPITAL PANAMERICANO
Second Line	:	8VO PISO DAMAS, 2213 PONCE BY PASS
City	:	PONCE
State	:	PR
Zip	:	00717
Country	:	US
Telephone Number	:	787-385-2559
Fax Number	:

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

Provider Enumeration Date	:	03/05/2026
Last Update Date	:	03/05/2026

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