MEDICARE: JOSE M MORALES CASTRO MD PSC

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	261QM2500X	Medical Specialty Clinic/Center	10614	PR

General Provider Information

NPI Number	:	1477924850
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOSE M MORALES CASTRO MD PSC

Provider Business Mailing Address
First Line	:	35 CALLE JUAN C BORBON STE 67
Second Line	:	PMB 182
City	:	GUAYNABO
State	:	PR
Zip	:	00969-5375
Country	:	US
Telephone Number	:	787-370-1330
Fax Number	:

Provider Business Practice Location Address
First Line	:	1510 AVE FD ROOSEVELT
Second Line	:	SUITE B
City	:	GUAYNABO
State	:	PR
Zip	:	00968-2602
Country	:	US
Telephone Number	:	787-370-1330
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENTE
Name	:	JOSE M MORALES
Credential	:	MD
Telephone Number	:	787-370-0929

Provider Enumeration Date	:	10/12/2015
Last Update Date	:	10/12/2015

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