MEDICARE: RUT ESTER MORALES SANCHEZ

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	103T00000X	Psychologist
2	103TC1900X	Counseling Psychologist	7395	PR

General Provider Information

NPI Number	:	1497481337
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RUT ESTER MORALES SANCHEZ

Provider Business Mailing Address
First Line	:	HC 2 BOX 13124
Second Line	:
City	:	GURABO
State	:	PR
Zip	:	00778-9744
Country	:	US
Telephone Number	:	787-380-4949
Fax Number	:

Provider Business Practice Location Address
First Line	:	URB. BONNEVILLE HEIGHTS
Second Line	:	CALLE AIBONITO 60
City	:	CAGUAS
State	:	PR
Zip	:	00727-4964
Country	:	US
Telephone Number	:	939-395-0188
Fax Number	:

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

Provider Enumeration Date	:	07/25/2022
Last Update Date	:	02/12/2025

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