MEDICARE: MRS. MAYRA MORA-MORALES MRC

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	225C00000X	Rehabilitation Counselor	709	PR

General Provider Information

NPI Number	:	1457237026
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MAYRA MORA-MORALES MRC

Provider Business Mailing Address
First Line	:	702 CALLE CIPRES
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00924-5115
Country	:	US
Telephone Number	:	787-764-7714
Fax Number	:	787-764-7714

Provider Business Practice Location Address
First Line	:	702 CALLE CIPRES
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00924-5115
Country	:	US
Telephone Number	:	787-764-7714
Fax Number	:	787-764-7714

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

Provider Enumeration Date	:	08/11/2025
Last Update Date	:	09/16/2025

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