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NPI Code Detail

MEDICARE: DR. VIMAEL MORALES D.M.D.

MEDICARE: DR. VIMAEL MORALES D.M.D.
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
11223G0001XGeneral Practice Dentistry823PR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
140726OTHERPRTRIPLE S,INC.

General Provider Information

NPI Number : 1497714315
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VIMAEL MORALES D.M.D.
Provider Business Mailing Address
First Line : PO BOX 406
Second Line :
City : GUANICA
State : PR
Zip : 00653-0406
Country : US
Telephone Number : 787-821-2986
Fax Number :
Provider Business Practice Location Address
First Line : URB. MARIANI 1577 MUNOZ RIVERA AVE
Second Line : SUITE 2
City : PONCE
State : PR
Zip : 00717-0211
Country : US
Telephone Number : 787-841-5515
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2006
Last Update Date : 05/02/2013

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