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NPI Code Detail

MEDICARE: JOSUE JOEL MORALES ROLDAN

MEDICARE: JOSUE JOEL MORALES ROLDAN
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
1183500000XPharmacist8158PR

General Provider Information

NPI Number : 1689311136
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSUE JOEL MORALES ROLDAN
Provider Business Mailing Address
First Line : HC 9 BOX 10311
Second Line :
City : AGUADILLA
State : PR
Zip : 00603-9274
Country : US
Telephone Number : 787-324-2705
Fax Number :
Provider Business Practice Location Address
First Line : 150 CALLE F VIZCARRONDO
Second Line :
City : SAN JUAN
State : PR
Zip : 00926-4483
Country : US
Telephone Number : 787-755-1375
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2022
Last Update Date : 12/07/2023

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Directions to “ JOSUE JOEL MORALES ROLDAN ” Practice Location

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