MEDICARE: RAFAEL MORALES

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	175T00000X	Peer Specialist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720711674
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAFAEL MORALES

Provider Business Mailing Address
First Line	:	3823 STORER AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44109-1488
Country	:	US
Telephone Number	:	216-224-9342
Fax Number	:

Provider Business Practice Location Address
First Line	:	3823 STORER AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44109-1488
Country	:	US
Telephone Number	:	216-224-9343
Fax Number	:

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

Provider Enumeration Date	:	07/07/2022
Last Update Date	:	07/07/2022

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Directions to “ RAFAEL MORALES ” Practice Location

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