MEDICARE: DR. JESUS M 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
1	1223G0001X	General Practice Dentistry	2423	PR

General Provider Information

NPI Number	:	1760487490
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JESUS M MORALES D.M.D.

Provider Business Mailing Address
First Line	:	CALLE 2 S.O. CAPARRA TERRACE
Second Line	:	#1567
City	:	SAN JUAN
State	:	PR
Zip	:	00921-1402
Country	:	US
Telephone Number	:	787-449-8500
Fax Number	:

Provider Business Practice Location Address
First Line	:	654 AVE. SAN PATRICIO
Second Line	:	URB. SUMMIT HILLS RIO PIEDRAS
City	:	SAN JUAN
State	:	PR
Zip	:	00920
Country	:	US
Telephone Number	:	787-792-6266
Fax Number	:

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

Provider Enumeration Date	:	06/17/2005
Last Update Date	:	04/18/2018

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